Shoreline Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SHORELINE OPTICAL, LLC

Doing business as

Shoreline Optical

Practice address

301 Center St
North Muskegon, MI 49445-3104

Phone

(231) 739-9009

Fax

(231) 744-2869

NPI assigned

Dec 27, 2007

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Lynn Patrick

Title

Account Manager

Phone

(616) 588-6593

Specialties & licenses 1

Addresses

Other names 1

• Shoreline Optical Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shoreline Ophthalmology, PLLC

  • Optometrist
  • Norton Shores, MI
  • NPI 1861637332

  Member Of

  NPD member

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1629252598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CENTER ST",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494453104",
            "telephone_number": "231-739-9009",
            "fax_number": "231-744-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "616-588-6593"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shoreline Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Rubick, R.N.
• Hillary Anne Saum, NURSE PRACTITIONER
• William F Seieroe, D.C.
• Sharon Rubick (Medical Tec-Tronics LLC)
• Shoreline Ophthalmology, PLLC
• Smile North Muskegon PC
• Charles O Somers, RPH
• Bethanie Grace Swier, NBC-HWC
• True You Coaching and Counseling
• Lynne Twining

• Eyewear Supplier in North Muskegon, MI
• Providers in North Muskegon, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.