Goodwill Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GOODWILL OPTICAL INC

Doing business as

Good Eyes Optical

Practice address

2720 J Maddy Pkwy
Interlochen, MI 49643-9135

Phone

(231) 932-1520

Fax

(231) 932-1552

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Michael HancotteNPI 1952035925

Title

President

Phone

(231) 932-1520

Specialties & licenses 1

Addresses

Other names 1

• Good Eyes Optical Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Hancotte

  • Optician
  • Traverse City, MI
  • NPI 1952035925
  NPD Authorized official
• Robert Michael Hardy, OD

  • Optometrist
  • Fremont, MI
  • NPI 1174518617
  NPD (past)
• Joseph T Trubiroha, O.D.

  • Optometrist
  • Cadillac, MI
  • NPI 1689750507
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1710924261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2720 J MADDY PKWY",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439135",
            "telephone_number": "231-932-1520",
            "fax_number": "231-932-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 J MADDY PKWY",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439135",
            "telephone_number": "231-932-1520",
            "fax_number": "231-932-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2024-10-10",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "HANCOTTE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-932-1520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Eyes Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Lee Dorman, FNP-C
• Dr. Lisa PT LLC
• Dawn Edgley
• Lisa Fernandez, DPT
• Dawn Marie Gaden, M.A., L.P.C., N.C.C.
• Ashley Marie Goss, FNP-C
• Danielle Lee Gray, RN
• Andrew J Gutzka
• Healthcare Coordinates LLC
• William Hendershot, DDS

• Optometrist in Interlochen, MI
• Providers in Interlochen, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.