Eaton Rapids Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EATON RAPIDS EYE CARE PC

Practice address

136 S Main St
Eaton Rapids, MI 48827-1068

Phone

(517) 663-2020

Fax

(517) 663-5290

NPI assigned

Apr 24, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel N Wrubel, O.D.NPI 1528067600

Title

Owner

Phone

(517) 663-2020

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

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.

• Kyle Robert Booher, O.D.

  • Optometrist
  • Eaton Rapids, MI
  • NPI 1144320771
  Medicare reassignment Care Compare group NPD
• Nicole Sparks, O.D.

  • Optometrist
  • Eaton Rapids, MI
  • NPI 1942684709
  Medicare reassignment Care Compare group NPD
• Daniel N Wrubel, D.O.

  • Vision Therapy Optometrist
  • Eaton Rapids, MI
  • NPI 1528067600
  Authorized official Same address or phone
• Tara Jane Nathaniel, O.D.

  • Optometrist
  • Eaton Rapids, MI
  • NPI 1952659880
  NPD (past)
• Douglas Leon Totten, O.D.

  • Optometrist
  • Norton Shores, MI
  • NPI 1669563565
  NPD (past)
• Harper T Wildern, O.D.

  • Optometrist
  • Charlotte, MI
  • NPI 1366505398
  NPD (past)
• Tiffany L Polanek, OD

  • Optometrist
  • Chicago, IL
  • NPI 1952395014
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1861611626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271068",
            "telephone_number": "517-663-2020",
            "fax_number": "517-663-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S MAIN ST",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271068",
            "telephone_number": "517-663-2020",
            "fax_number": "517-663-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON RAPIDS EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "WRUBEL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-663-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "900B311120",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945189945",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900B311120",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000010064",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "945189927",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "200000008893",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie M Davis, LMSW
• Mercedes Delgado
• Douglas Hoppe DDS PC
• Eaton Rapids Area Fire/EMS Services,Inc (Island City Area EMS)
• Eaton Rapids Chiropractic PSC
• Eaton Rapids Family Medicine PC
• Eaton Rapids Medical Center
• Eaton Rapids Medical Center (Eaton Rapids Medical Center Family Practice)
• Eaton Rapids Medical Center (Springport Medical Clinic)
• Eaton Rapids Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.