Organization Active NPI

Grand View Ophthalmology PLC

  • Ophthalmology Physician
  • Grandville, MI
National Provider Identifier
1508871393
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GRAND VIEW OPHTHALMOLOGY PLC
Practice address
4070 Chicago Dr SW
Grandville, MI 49418-1258
Phone
(616) 988-8787
Fax
(616) 988-4786
NPI assigned
Jul 30, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Christopher Joseph Stock, M.D.NPI 1144233347
Title
President/Owner
Phone
(616) 988-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

4070 Chicago Dr SW
Grandville, MI 49418-1258

Mailing address

4070 Chicago Dr SW
Grandville, MI 49418-1258
Phone (616) 988-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041027000655 MI Part B Supplier - Clinic/Group Practice 6305808973 Receives reassigned benefits from 1 practitioner
Practice locations: Muskegon, MI; Grandville, MI; Grand Rapids, MI; Byron Center, MI; Grand Haven, MI

National Provider Directory

National Provider Directory

Locations

4120 Chicago Dr SW
Grandville, MI 49418
Phone (616) 531-3336

810 Terrace St
Muskegon, MI 49440
Phone (231) 726-4234

427 Seminole Rd
Ste 104
Norton Shores, MI 49444
Phone (231) 733-2000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508871393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 CHICAGO DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181258",
            "telephone_number": "616-988-8787",
            "fax_number": "616-988-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 CHICAGO DR SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181258",
            "telephone_number": "616-988-8787",
            "fax_number": "616-988-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND VIEW OPHTHALMOLOGY PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "STOCK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "616-988-8787",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grandville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.