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Organization Active NPI

Thornapple Ophthalmology Thornapple Ophthalmology Assoc PC

  • Ophthalmology Physician
  • Lowell, MI
National Provider Identifier
1841483989
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4901004379 Issued in MI
Legal business name
THORNAPPLE OPHTHALMOLOGY THORNAPPLE OPHTHALMOLOGY ASSOC PC
Practice address
1335 W Main St
Suite a
Lowell, MI 49331-1555
Phone
(616) 897-7000
Fax
(616) 897-5604
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Steven M Flohr
Title
Practice Administrator
Phone
(616) 897-7000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4901004379 MI
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4901004439 MI
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 4901004379 MI Primary

Addresses

Primary practice location

1335 W Main St
Suite a
Lowell, MI 49331-1555

Mailing address

1335 W Main St
Suite a
Lowell, MI 49331-1555
Phone (616) 897-7000

Other names 1

  • Advanced Eyecare Professionals Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Eyecare Professionals2 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.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1841483989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493311555",
            "telephone_number": "616-897-7000",
            "fax_number": "616-897-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 W MAIN ST",
            "address_2": "SUITE A",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493311555",
            "telephone_number": "616-897-7000",
            "fax_number": "616-897-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THORNAPPLE OPHTHALMOLOGY THORNAPPLE OPHTHALMOLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "FLOHR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "616-897-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004379",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004439",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4901004379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.