Individual provider Active NPI

Timothy D Vorgias, O.D.

  • Optometrist
  • Three Rivers, MI
National Provider Identifier
1609157304
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004892 Issued in MI
Practice address
56847 N Main St
Three Rivers, MI 49093-9615
Phone
(269) 273-2020
NPI assigned
Sep 8, 2011
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004892 MI Primary

Addresses

Primary practice location

56847 N Main St
Three Rivers, MI 49093-9615

Mailing address

4225 McCabe Ave NE
Ada, MI 49301-9737

Other practice location 1

1266 E Sherman Blvd
Muskegon, MI 49444-1847
Phone (231) 273-9900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724010001 MI Practitioner - Optometry 9335452036 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoreline Ophthalmology PLLCGroup PAC ID 3678537628, 14 clinicians

Practice addresses (Care Compare)

1266 E Sherman Blvd
Muskegon, MI 49444-1847
Phone (231) 739-9009

Merit-based Incentive Payment System (MIPS)

Final score
80.4 of 100Reported as group
Quality
89.51
Promoting interoperability
100
Improvement activities
40
Cost
45.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Ophthalmology, PLLC Optometrist CurrentSince Sep 8, 2020 Accepting new patients
Cherry Street Services, Inc. CurrentSince Aug 2, 2024 Accepting new patients
Shoreline Ophthalmology, PLLC CurrentSince Sep 8, 2020 Accepting new patients
Cherry Street Services, Inc CurrentSince Aug 2, 2024 Accepting new patients

Locations

1401 W Main St
Ste 101
Fremont, MI 49412
Phone (231) 739-9009

1445 Sheldon Rd
Ste 100
Grand Haven, MI 49417
Phone (231) 739-9009

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

1266 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 737-4727

301 Center St
North Muskegon, MI 49445
Phone (231) 739-9009

3375 McCracken St
Norton Shores, MI 49441
Phone (231) 739-9009

625 E Savidge St
Spring Lake, MI 49456
Phone (616) 844-5650

Organizations & group practices 4

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1609157304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 MCCABE AVE NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56847 N MAIN ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490939615",
            "telephone_number": "269-273-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 E Sherman Blvd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441847",
            "country_code": "US",
            "telephone_number": "231-273-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VORGIAS",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

Verify at the official NPI Registry.