Organization Active NPI

Optometric Associates of Big Rapids, PC

  • Durable Medical Equipment & Medical Supplies
  • Big Rapids, MI
National Provider Identifier
1699855262
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
G Issued in MI
Legal business name
OPTOMETRIC ASSOCIATES OF BIG RAPIDS, PC
Practice address
120 N Michigan Ave Ste 1
Big Rapids, MI 49307-1457
Phone
(231) 796-5321
Fax
(231) 796-2957
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Mary K Klimek
Title
Business Administrator
Phone
(231) 796-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X G MI Primary

Addresses

Primary practice location

120 N Michigan Ave Ste 1
Big Rapids, MI 49307-1457

Mailing address

120 N Michigan Ave Ste 1
Big Rapids, MI 49307-1457
Phone (231) 796-5321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1699855262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MICHIGAN AVE STE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071457",
            "telephone_number": "231-796-5321",
            "fax_number": "231-796-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MICHIGAN AVE STE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071457",
            "telephone_number": "231-796-5321",
            "fax_number": "231-796-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRIC ASSOCIATES OF BIG RAPIDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLIMEK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "231-796-5321",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.