Active NPI
Tabitha Margritz, O.D.
- Optometrist
- Holland, MI
National Provider Identifier
1699227397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005019
- Practice address
- 2279 N Park Drive #910
Holland, MI 49424 - Phone
- (616) 510-2243
- NPI assigned
- Oct 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005019 | MI | Primary |
Addresses
Primary practice location
2279 N Park Drive #910
Holland, MI 49424
Mailing address
363 Harbor Town CT
#2
Holland, MI 49423-9226
Phone (785) 577-5907
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005019 | MI | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477612800000",
"number": "1699227397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 HARBOR TOWN CT",
"address_2": "#2",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494239226",
"telephone_number": "785-577-5907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2279 N PARK DRIVE #910",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49424",
"telephone_number": "616-510-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARGRITZ",
"first_name": "TABITHA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-28",
"last_updated": "2016-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.