Active NPI
Lance Rambo, OD
- Optometrist
- Walker, MI
National Provider Identifier
1578458741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005893
- Practice address
- 3303 Alpine Ave NW Ste a
Walker, MI 49544-1605 - Phone
- (616) 649-4703
- NPI assigned
- Jun 10, 2025
- Last updated
- Jun 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005893 | MI | Primary |
Addresses
Primary practice location
3303 Alpine Ave NW Ste a
Walker, MI 49544-1605
Mailing address
1415 Wealthy St SE Apt 310
Grand Rapids, MI 49506-2804
Phone (906) 236-2550
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260605002582 | MI | Practitioner - Optometry | 2466923818 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
131 W Wahsington St
Suite B
Marquette, MI 49855-4378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005893 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
3303 Alpine Ave NW
Ste A
Walker, MI 49544
Phone (616) 649-4703
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1578458741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 WEALTHY ST SE APT 310",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062804",
"telephone_number": "906-236-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3303 ALPINE AVE NW STE A",
"city": "WALKER",
"state": "MI",
"postal_code": "495441605",
"telephone_number": "616-649-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMBO",
"first_name": "LANCE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walker, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.