Organization Active NPI

Optics Plus LLC

  • Occupational Vision Optometrist
  • Muskegon, MI
National Provider Identifier
1831434174
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Vision OptometristTaxonomy code 152WX0102X
Legal business name
OPTICS PLUS LLC
Practice address
1343 Whitehall Road
Muskegon, MI 49445
Phone
(231) 744-0440
Fax
(231) 719-0291
NPI assigned
Nov 27, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTICS PLUS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Mrs. Dawn June Prince, OWNER/OPTICIAN
Title
Owner/Optician
Phone
(231) 744-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Vision OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WX0102X Primary

Addresses

Primary practice location

1343 Whitehall Road
Muskegon, MI 49445

Mailing address

1343 Whitehall Road
Muskegon, MI 49445
Phone (231) 744-0440

Other identifiers 2

IdentifierTypeStateIssuer
864556948MedicaidMI
944556039MedicaidMI

National Provider Directory

National Provider Directory
Part of
Optics Plus

Locations

1343 Whitehall Rd
Muskegon, MI 49445
Phone (231) 744-0440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1831434174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 WHITEHALL ROAD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49445",
            "telephone_number": "231-744-0440",
            "fax_number": "231-719-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 WHITEHALL ROAD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49445",
            "telephone_number": "231-744-0440",
            "fax_number": "231-719-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICS PLUS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTICS PLUS LLC",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "231-744-0440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER/OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "864556948",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944556039",
            "state": "MI"
        }
    ],
    "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 Nov 27, 2012; 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.