Kentwood Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004094 Issued in MI

Legal business name

KENTWOOD FAMILY EYE CARE

Practice address

2073 Dykstra Rd
Muskegon, MI 49445-1988

Phone

(231) 750-0845

NPI assigned

Nov 14, 2014

Organization subpart

No

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

Authorized official

Name

Bruce Bullion, O.D.

Title

Optometrist

Phone

(616) 949-7442

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1881090041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 28TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495121908",
            "telephone_number": "616-949-7442",
            "fax_number": "616-956-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 DYKSTRA RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451988",
            "telephone_number": "231-750-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTWOOD FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "BULLION",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "616-949-7442",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mennard Kendrick, LMSW, MPA, CAADC
• Dean Patrick Kendziera, PA-C
• David Allan Kennedy, LLP
• Nicole Mellisa Kennedy, CNA, CHPNA
• Kent Vision Centers Inc
• Nicholas Kepreos, DC
• Carla Ann Kevern, BCBA, DTLLP, NCSP
• Ryan Scott Keyes, CRNA
• Sarah E Keyes, MSN, APRN, FNP-C
• Zia Ahmed Khan, MD

• Optometrist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.