Organization Active NPI

Dave's Vision Center Inc.

Doing business as Smeelink Optical of Grandville

  • Optometrist
  • Grandville, MI
National Provider Identifier
1972671469
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003291 Issued in MI
Legal business name
DAVE'S VISION CENTER INC.
Doing business as
Smeelink Optical of Grandville
Practice address
4565 Wilson Ave SW
Suite 1
Grandville, MI 49418-2371
Phone
(616) 531-7840
Fax
(616) 532-5748
NPI assigned
Dec 1, 2006
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mr. Dave P Haverkamp
Title
President
Phone
(616) 531-7840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003291 MI Primary

Addresses

Primary practice location

4565 Wilson Ave SW
Suite 1
Grandville, MI 49418-2371

Mailing address

4565 Wilson Ave SW
Suite 1
Grandville, MI 49418-2371
Phone (616) 531-7840

Other names 1

  • Smeelink Optical of Grandville Doing business as

National Provider Directory

National Provider Directory

Locations

4565 Wilson Ave SW
Ste 1
Grandville, MI 49418
Phone (616) 531-7840

Practitioners & affiliated clinicians

Practitioners 2

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": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1972671469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW",
            "address_2": "SUITE 1",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-531-7840",
            "fax_number": "616-532-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 WILSON AVE SW",
            "address_2": "SUITE 1",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494182371",
            "telephone_number": "616-531-7840",
            "fax_number": "616-532-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE'S VISION CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "HAVERKAMP",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-531-7840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smeelink Optical of Grandville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grandville, MI

Sources for this page

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