NPIMap

Organization Active NPI

Lansing Ophthalmology

  • Ophthalmology Physician
  • Flint, MI
National Provider Identifier
1740559756
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LANSING OPHTHALMOLOGY
Practice address
4499 Town Center Pkwy
Flint, MI 48532-3425
Phone
(517) 337-1668
Fax
(517) 337-1779
NPI assigned
Dec 20, 2011
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Donald Shook
Title
Executive Director
Phone
(517) 337-1899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4499 Town Center Pkwy
Flint, MI 48532-3425

Mailing address

1005 Charlevoix Dr Ste 100
Grand Ledge, MI 48837-8186
Phone (517) 337-1668

National Provider Directory

National Provider Directory
Tax ID family
Lansing Ophthalmology PC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1740559756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CHARLEVOIX DR STE 100",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488378186",
            "telephone_number": "517-337-1668",
            "fax_number": "517-622-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 TOWN CENTER PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323425",
            "telephone_number": "517-337-1668",
            "fax_number": "517-337-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING OPHTHALMOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-20",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "SHOOK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "517-337-1899"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.