NPIMap

Organization Active NPI

North Bay Ophthalmology, PC

Doing business as North Bay Optical

  • Eyewear Supplier
  • Petoskey, MI
National Provider Identifier
1881731248
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
TV039837 Issued in MI
Legal business name
NORTH BAY OPHTHALMOLOGY, PC
Doing business as
North Bay Optical
Practice address
2061 M 119
Petoskey, MI 49770-8914
Phone
(231) 487-2020
Fax
(231) 487-6166
NPI assigned
Feb 1, 2007
Last updated
Jan 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Timothy Van Every, M.D.NPI 1255342978
Title
President,Owner
Phone
(231) 487-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TV039837 MI Primary

Addresses

Primary practice location

2061 M 119
Petoskey, MI 49770-8914

Mailing address

2061 M 119
Petoskey, MI 49770-8914
Phone (231) 487-2020

Other names 1

  • North Bay Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1881731248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708914",
            "telephone_number": "231-487-2020",
            "fax_number": "231-487-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 M 119",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708914",
            "telephone_number": "231-487-2020",
            "fax_number": "231-487-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY OPHTHALMOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "VAN EVERY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT,OWNER",
        "authorized_official_telephone_number": "231-487-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MI",
            "license": "TV039837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.