West Michigan Vision Specialists

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

4901003563 Issued in MI

Legal business name

WEST MICHIGAN VISION SPECIALISTS

Practice address

4467 Byron Center Ave SW
Wyoming, MI 49519-4808

Phone

(616) 534-4953

Fax

(616) 534-9790

NPI assigned

Feb 6, 2013

Organization subpart

No

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

Authorized official

Name

Lynnette Gay Burgess, OD

Title

Optometrist/Owner

Phone

(616) 534-4953

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynnette Gay Doarnberger, O.D.

  • Vision Therapy Optometrist
  • Kentwood, MI
  • NPI 1598750416
  Medicare reassignment NPD

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1639418932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194808",
            "telephone_number": "616-534-4953",
            "fax_number": "616-534-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 BYRON CENTER AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194808",
            "telephone_number": "616-534-4953",
            "fax_number": "616-534-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN VISION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "616-534-4953",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901003563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Michigan Heart
• West Michigan Primary Care
• West Michigan Radiation Oncology
• West Michigan Rehabilitation Center Inc
• West Michigan Surgical Specialists PLC
• Rita Dawn Westrate
• Ethan D Wheeler
• Luanne Wheeler, TEACHING
• Molly Anna Wheeler, PA-C
• Kathy Jean White, RPH

• Vision Therapy Optometrist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Vision Therapy Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.