Organization Active NPI

W. Optical 2 LLC

  • Optician
  • Grand Rapids, MI
National Provider Identifier
1689110710
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
W. OPTICAL 2 LLC
Practice address
3233 Alpine Ave NW Ste a
Grand Rapids, MI 49544-1631
Phone
(616) 432-3591
Fax
(616) 432-3597
NPI assigned
Jan 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Authorized official

Name
Mr. Aaron Winters
Title
Ceo
Phone
(616) 432-3591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3233 Alpine Ave NW Ste a
Grand Rapids, MI 49544-1631

Mailing address

3233 Alpine Ave NW Ste a
Grand Rapids, MI 49544-1631
Phone (616) 432-3591

Other names 1

  • W. Optical Doing business as

National Provider Directory

National Provider Directory

Locations

3579 Alpine Ave NW
Grand Rapids, MI 49544
Phone (616) 432-3591

Practitioners & affiliated clinicians

Practitioners 3

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": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576627200000",
    "number": "1689110710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233 ALPINE AVE NW STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441631",
            "telephone_number": "616-432-3591",
            "fax_number": "616-432-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233 ALPINE AVE NW STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495441631",
            "telephone_number": "616-432-3591",
            "fax_number": "616-432-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. OPTICAL 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-432-3591",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "W. Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.