Organization Active NPI

West Michigan Eye & Laser

  • Ophthalmology Physician
  • Norton Shores, MI
National Provider Identifier
1831442094
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301079878 Issued in MI
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

Updated by the provider on Sep 8, 2023

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.