Active NPI
West Michigan Eye & Laser
- Ophthalmology Physician
- Norton Shores, MI
National Provider Identifier
1831442094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301079878
- Legal business name
- WEST MICHIGAN EYE & LASER
- Practice address
- 1450 Farr Rd Ste 2000
Norton Shores, MI 49444-8797 - Phone
- (231) 737-9378
- NPI assigned
- Oct 24, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Goran
- Title
- Owner
- Phone
- (231) 737-9378
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301079878 | MI | Primary |
Addresses
Primary practice location
1450 Farr Rd Ste 2000
Norton Shores, MI 49444-8797
Mailing address
1450 Farr Rd Ste 1000
Norton Shores, MI 49444-8797
Phone (231) 737-9378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130204000194 | MI | Part B Supplier - Clinic/Group Practice | 2062666803 | Practice locations: Grand Rapids, MI; Norton Shores, MI; Muskegon, MI; Greenville, MI; Battle Creek, MI; Byron Center, MI |
National Provider Directory
National Provider DirectoryLocations
100 North Ave
Battle Creek, MI 49017
Phone (269) 288-8400
2845 Capital Ave SW
Ste 202
Battle Creek, MI 49015
Phone (269) 223-7045
1150 E Sherman Blvd
Ste 1500
Muskegon, MI 49444
Phone (231) 733-1098
1150 E Sherman Blvd
Ste 15
Muskegon, MI 49444
1450 Farr Rd
Ste 1000
Norton Shores, MI 49444
Phone 23173793782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694131200000",
"number": "1831442094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 FARR RD STE 1000",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494448797",
"telephone_number": "231-737-9378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 FARR RD STE 2000",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494448797",
"telephone_number": "231-737-9378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST MICHIGAN EYE & LASER",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-24",
"last_updated": "2023-09-08",
"certification_date": "2023-09-08",
"status": "A",
"authorized_official_last_name": "GORAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-737-9378",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301079878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norton Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.