Maribeth Anderson Bangert, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004140 Issued in MI

Practice address

3819 Rivertown Pkwy SW
Suite 500
Grandville, MI 49418-3140

Phone

(616) 667-9130

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Douglas Schneider OD PC

  dba Pearle Vision

  • Optometrist
  • Cadillac, MI
  • NPI 1295797421
  NPD (past)
• Integrity Eyewear Inc.

  • Optician
  • Grandville, MI
  • NPI 1477769040
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619096799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 CREEKWOOD CT SE",
            "city": "ALTO",
            "state": "MI",
            "postal_code": "493029780",
            "telephone_number": "616-664-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 RIVERTOWN PKWY SW",
            "address_2": "SUITE 500",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183140",
            "telephone_number": "616-667-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGERT",
        "first_name": "MARIBETH",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn N Bahlke, LMT
• Aaron Bailey, MSPT
• Olivia Baker, SLP
• Nancy Baldus, LLP, LPC
• Allyssa June Ballard, LMSW
• Hannah Elizabeth Barnes, RN
• Shelby Barnes
• Jennifer Balangue Barnett
• Emily Jean Barnhart, DDS
• Casandra Barrett, ABO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.