Active NPI
Heather Marie Burgess-Peterson, O.D.
- Optometrist
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003806
- Practice address
- 1871 Holton Rd
Suite a
Muskegon, MI 49445-1594 - Phone
- (231) 719-9200
- Fax
- (231) 744-6782
- NPI assigned
- Aug 25, 2005
- Last updated
- Jul 13, 2026
- 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 | 4901003806 | MI | Primary |
Addresses
Primary practice location
1871 Holton Rd
Suite a
Muskegon, MI 49445-1594
Mailing address
15780 Ridge LN
Spring Lake, MI 49456-1557
Phone (231) 719-9200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1871 Holton Rd
North Muskegon, MI 49445-1594
Phone (231) 719-9200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003806 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| E.C. One, PLLC | Optometrist | Current | Accepting new patients |
| Eye Care One, PLLC | Optometrist | Past | Accepting new patients |
| HCL of West Michigan LLC | Optometrist | Past | Accepting new patients |
| Kent Vision Centers Inc | Optometrist | Past | Accepting new patients |
Locations
1930 E Apple Ave
Ste E
Muskegon, MI 49442
Phone (231) 777-2822
1871 Holton Rd
North Muskegon, MI 49445
Phone (231) 719-9200
2984 Henry St
Norton Shores, MI 49441
Phone (231) 737-7700
105 W Exchange St
Spring Lake, MI 49456
Phone (616) 846-0620
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720071798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15780 RIDGE LN",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561557",
"telephone_number": "231-719-9200",
"fax_number": "231-744-6782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1871 HOLTON RD",
"address_2": "SUITE A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494451594",
"telephone_number": "231-719-9200",
"fax_number": "231-744-6782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS-PETERSON",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.