Organization Active NPI

Southwest Michigan Eye Center PLC

  • Ophthalmology Physician
  • Battle Creek, MI
National Provider Identifier
1639234875
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
PC052043 Issued in MI
Legal business name
SOUTHWEST MICHIGAN EYE CENTER PLC
Practice address
3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015-9393
Phone
(269) 979-6383
Fax
(269) 979-6381
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Authorized official

Name
Dr. Larry Marvin Vanderplas, MD
Title
Ophthalmologist
Phone
(269) 979-6383

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X WW4820767 MI
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X PC052043 MI Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X RS048655 MI
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X LV045322 MI

Addresses

Primary practice location

3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015-9393

Mailing address

3600 Capital Ave SW
Ste 203
Battle Creek, MI 49015-9393
Phone (269) 979-6383

Other identifiers 5

IdentifierTypeStateIssuer
900A311250OtherMIBCBS OPTOMETRIST
OP130009MedicaidMI
180A310000OtherMIBCBS OPHTHALMOLOGIST
368913400OtherMIUS DEPT OF LABOR
M12043OtherMIEYE CARE PLAN OF AMERICA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1639234875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6383",
            "fax_number": "269-979-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CAPITAL AVE SW",
            "address_2": "STE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490159393",
            "telephone_number": "269-979-6383",
            "fax_number": "269-979-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MICHIGAN EYE CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "VANDERPLAS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "269-979-6383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "WW4820767",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "PC052043",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "RS048655",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "LV045322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OPTOMETRIST",
            "identifier": "900A311250",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OP130009",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OPHTHALMOLOGIST",
            "identifier": "180A310000",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "368913400",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE CARE PLAN OF AMERICA",
            "identifier": "M12043",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.