Lana Gruizenga, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003341 Issued in MI

Practice address

133 E Michigan Ave
Paw Paw, MI 49079-1429

Phone

(269) 657-7288

Fax

(269) 655-9063

NPI assigned

Oct 18, 2006

Last updated

Jan 10, 2014By the provider in NPPES

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

• Lana Hulsebus Professional 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lgruizenga@sei.intellechartdirect.net

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

• Hiemstra Optical Company

  • Optician
  • Paw Paw, MI
  • NPI 1841371556
  Medicare reassignment NPD
• Mid Michigan Eye Care Center, PC

  dba Specialty Eye Institute

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1518048214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791429",
            "telephone_number": "269-657-7288",
            "fax_number": "269-655-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791429",
            "telephone_number": "269-657-7288",
            "fax_number": "269-655-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUIZENGA",
        "first_name": "LANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANA",
            "last_name": "HULSEBUS",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lauren E Giddings
• Layna Jewelyn Gleason
• Kaitlynn Mary Gokey, M.S., BCBA
• Angela Charity Goodson, LLP
• Elizabeth Simmons Graham, PHARMD
• Jenny Adina Grunberg, DMD
• David Edward Guimond, RN
• Sharon La'Gerald Emma Harris
• Diana Hassan
• Elizabeth May Headley, LLPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.