Organization Active NPI

Kent Vision Centers Inc

Doing business as Smeelink Optical

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1912082298
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KENT VISION CENTERS INC
Doing business as
Smeelink Optical
Practice address
941 Bridge St NW
Grand Rapids, MI 49504-5555
Phone
(616) 774-2904
Fax
(616) 774-4053
NPI assigned
Oct 26, 2006
Last updated
Feb 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Authorized official

Name
Timothy D Westra
Title
President
Phone
(616) 846-0620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

941 Bridge St NW
Grand Rapids, MI 49504-5555

Mailing address

105 W Exchange St
Spring Lake, MI 49456-2024
Phone (616) 846-0620

Other identifiers 3

IdentifierTypeStateIssuer
900F111210OtherMIBCBS OF MI
(94) 4634162MedicaidMI
(94) 4634171MedicaidMI

Other names 1

  • Smeelink Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1047 W Main St
Fremont, MI 49412
Phone (231) 924-5540

601 S Beacon Blvd
Ste 119
Grand Haven, MI 49417
Phone (616) 846-0080

1960 28th St SE
Grand Rapids, MI 49508
Phone (616) 247-6677

426 Michigan St NE
Ste 101
Grand Rapids, MI 49503
Phone (616) 459-1844

941 Bridge St NW
Grand Rapids, MI 49504
Phone (616) 774-2904

101 S Lafayette St
Ste 101
Greenville, MI 48838
Phone (616) 754-6300

307 S Franklin St
#One
Greenville, MI 48838
Phone (616) 754-7143

505 W Main St
Lowell, MI 49331
Phone (616) 897-0330

5784 W US Highway 10
Ludington, MI 49431
Phone (231) 843-2571

1675 Leahy St
Ste 113
Muskegon, MI 49442
Phone (231) 726-2464

3474 Henry St
Norton Shores, MI 49441
Phone (231) 759-4253

116 S Division St
Whitehall, MI 49461
Phone (231) 894-2651

2240 28th St SW
Wyoming, MI 49519
Phone (616) 534-5566

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1912082298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562024",
            "telephone_number": "616-846-0620",
            "fax_number": "616-844-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 BRIDGE ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045555",
            "telephone_number": "616-774-2904",
            "fax_number": "616-774-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT VISION CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "WESTRA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-846-0620"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "900F111210",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "(94) 4634162",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "(94) 4634171",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smeelink Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.