Individual provider Active NPI

Richard Thomas Conflitti, O.D.

  • Optometrist
  • Allendale, MI
National Provider Identifier
1780635441
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003284 Issued in MI
Practice address
11301 Commerce Dr
Ste. a
Allendale, MI 49401-8200
Phone
(616) 895-9550
Fax
(616) 892-5166
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003284 MI Primary

Addresses

Primary practice location

11301 Commerce Dr
Ste. a
Allendale, MI 49401-8200

Mailing address

11301 Commerce Dr
Ste. a
Allendale, MI 49401-8200
Phone (616) 895-9550

Other identifiers 1

IdentifierTypeStateIssuer
3291304MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000479 MI Practitioner - Optometry 0345339339 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allendale Eye Care, LLC Optometrist CurrentSince Nov 1, 2007 Accepting new patients

Locations

11301 Commerce Dr
Ste A
Allendale, MI 49401
Phone (616) 895-9550

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1780635441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 COMMERCE DR",
            "address_2": "STE. A",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018200",
            "telephone_number": "616-895-9550",
            "fax_number": "616-892-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 COMMERCE DR",
            "address_2": "STE. A",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018200",
            "telephone_number": "616-895-9550",
            "fax_number": "616-892-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONFLITTI",
        "first_name": "RICHARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3291304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

Sources for this page

Verify at the official NPI Registry.