Nicole Marie Bennett Gdowski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004639 Issued in MI

Practice address

6650 S Westnedge Ave Ste 232
Portage, MI 49024-3503

Phone

(616) 617-0187

Fax

(269) 743-3720

NPI assigned

Jul 15, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nicole Marie Bennett Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arsulowicz Eye Care LLCGroup PAC ID 9931428075, 3 clinicians

West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arsulowicz Eye Care LLC

  • Optometrist
  • Grand Rapids, MI
  • NPI 1508259615
  Medicare reassignment Care Compare group NPD
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890
  Medicare reassignment Care Compare group
• Lifetime Eyecare P C

  • Optometrist
  • Jenison, MI
  • NPI 1285836213
  Medicare reassignment
• Luxottica Retail North America Inc

  • Eyewear Supplier
  • Midland, MI
  • NPI 1053457101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1508154246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 S WESTNEDGE AVE STE 232",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243503",
            "telephone_number": "616-617-0187",
            "fax_number": "269-743-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 S WESTNEDGE AVE STE 232",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490243503",
            "telephone_number": "616-617-0187",
            "fax_number": "269-743-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GDOWSKI",
        "first_name": "NICOLE",
        "middle_name": "MARIE BENNETT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BENNETT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Garrison
• Patricia Ann Gasaway, LPN
• Elizabeth Alice Gass-Boshoven, MA, LPC
• Courtney Gass
• Vicki Lynn Gates
• Andrew Gelbaugh
• General Dentistry PC
• Amy Cathryn Genthe, M.S.P.T.
• Gentle Touch Foot Care, P.C.
• Paige Geroux

• Optometrist in Portage, MI
• Providers in Portage, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.