Cutlerville Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CUTLERVILLE EYECARE, P.C.

Practice address

6680 S Division Ave
Grand Rapids, MI 49548-7834

Phone

(616) 455-2525

Fax

(616) 455-9135

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Jacquie Beyer

Title

Biller

Phone

(616) 455-2525

Specialties & licenses 1

Addresses

Other identifiers 2

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 5

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

• Courtney Butler

  • Optometrist
  • Grand Rapids, MI
  • NPI 1639868961
  Medicare reassignment Care Compare group NPD
• Stacy Amber Crater, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1174000426
  Medicare reassignment Care Compare group NPD
• Lee R Goodfellow, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1427146521
  Medicare reassignment Care Compare group NPD
• Daniel Scott Mlnarik, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1205240256
  Medicare reassignment NPD
• Aimee Bronson, O.D.

  • Optometrist
  • Grand Rapids, MI
  • NPI 1225126345
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1891778189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 S DIVISION AVE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487834",
            "telephone_number": "616-455-2525",
            "fax_number": "616-455-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6680 S DIVISION AVE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495487834",
            "telephone_number": "616-455-2525",
            "fax_number": "616-455-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUTLERVILLE EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "JACQUIE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "616-455-2525"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "900D178450",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587297",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kortne Custer, P.A. -C
• Larry Andrew Custer, R.PH.
• Carey Cutcher, LMSW
• Brian Scott Cutler, DO
• Leah Remi Cutler, LLMSW
• Angelia Josephine Cutts
• James Gilbert Cutts, MSWLL
• Charlyne Marie Cuyar Cruz, MD
• Andrew James Cybulski, DDS
• Cynthia L Kimball, LMSW, Acsw, Achp-SW, PLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.