Dr Marianne K Moayer OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

49010004443 Issued in MI

Legal business name

DR MARIANNE K MOAYER OD PLLC

Practice address

1600 E Beltline Ave NE
Grand Rapids, MI 49525-7024

Phone

(616) 365-2020

NPI assigned

May 2, 2011

Last updated

May 2, 2011By 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

Marianne Kay Moayer, O.D.NPI 1598955221

Title

Owner/Share Holder

Phone

(616) 667-1864

Specialties & licenses 1

Addresses

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.

• Marianne K Moayer, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1598955221
  Authorized official Same address or phone

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1679864110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 COVINGTON CT SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494183297",
            "telephone_number": "616-667-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257024",
            "telephone_number": "616-365-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MARIANNE K MOAYER OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "MOAYER",
        "authorized_official_first_name": "MARIANNE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/SHARE HOLDER",
        "authorized_official_telephone_number": "616-667-1864",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "49010004443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dr. Rafael Torres PC (Cascade Immediate Care Center)
• Dr. Sherry Steenwyk, PH.D., LLC

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.