Kent Vision Centers Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KENT VISION CENTERS INC

Doing business as

Kent Optical

Practice address

1960 28TH St SE
Grand Rapids, MI 49508-7900

Phone

(616) 247-6677

Fax

(616) 247-1254

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Timothy D Westra

Title

President

Phone

(616) 846-0620

Specialties & licenses 1

Addresses

Other names 1

• Kent Optical Doing business as

Tax ID family

Kent Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Kent Vision Centers Inc

  • Optometrist
  • Muskegon, MI
  • NPI 1245315589
  NPD tax ID

Locations

Practitioners 1

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

• Bruce L Bullion, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1003814492
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1831277763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562024",
            "telephone_number": "616-846-0620",
            "fax_number": "616-844-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 28TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087900",
            "telephone_number": "616-247-6677",
            "fax_number": "616-247-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WESTRA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-846-0620"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kent Podiatry
• Kent R Wildern DDS PC
• Kent Radiology PC
• Kent Residential Centers, Inc
• Kent Vision Centers Inc
• Kent Vision Centers Inc
• Lindsey Josephine Kent, AGACNP-BC
• Meredith Kent, PA
• Pilar Lynn-Ann Kent
• Sarah Elizabeth Kent, CNM

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.