Downtown Optical Shoppe, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DOWNTOWN OPTICAL SHOPPE, INC.

Practice address

204 S River Ave
Holland, MI 49423-3143

Phone

(616) 396-1205

Fax

(616) 396-9442

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stuart James Solomon

Title

President

Phone

(616) 396-1205

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720126774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S RIVER AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233143",
            "telephone_number": "616-396-1205",
            "fax_number": "616-396-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S RIVER AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233143",
            "telephone_number": "616-396-1205",
            "fax_number": "616-396-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN OPTICAL SHOPPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-396-1205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF MI",
            "identifier": "900G07607",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan L Donnelly
• McKinsey Doolaard
• Vanessa Doty, NP-C
• Douglas a Bleyenburg DDS PC
• Chloe Rose Douglas
• Lynne Marie Doyle, MA, LLP
• Allison Beth Dozeman, DPM
• Benjamin L Dozeman, DO
• Ronald Dozeman, MD
• Kara Draayer, CRNA

• Customized Equipment (DME) in Holland, MI
• Providers in Holland, MI by specialty
• Customized Equipment (DME) in Michigan

• 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.