Shoreline Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

SHORELINE OPTICAL, LLC

Practice address

625 E Savidge St
Spring Lake, MI 49456-1956

Phone

(231) 739-9009

NPI assigned

Jan 24, 2011

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrea Lynn Patrick

Title

Account Manager

Phone

(616) 588-6593

Specialties & licenses 2

Addresses

Other names 1

• Shoreline Ophthalmology PC Former legal business name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Shoreline Ophthalmology, PLLC

  • Optometrist
  • Norton Shores, MI
  • NPI 1861637332

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1972808921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 E SHERMAN BLVD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441847",
            "telephone_number": "616-846-2280",
            "fax_number": "616-844-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E SAVIDGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494561956",
            "telephone_number": "231-739-9009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1266 E Sherman Blvd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441847",
            "country_code": "US",
            "telephone_number": "231-739-9009",
            "fax_number": "231-733-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHORELINE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "616-588-6593"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Ophthalmology PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Shoreline Ophthalmology PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Brianna J Seiferlein, DC
• Sara Lea Shambarger, A.C.S.W.
• Kelsey Shepherd, MA, LPC, NCC
• Andrea Shoop
• Shoreline Ophthalmology PLLC
• Shoreline Sport & Spine PLLC (i'move)
• Smeelink Acquisitions Inc (Smeelink Optical)
• Lynn M Smith, LMSW
• Shandra Smith, M.A., LPC
• Shawna Smith

• Eyewear Supplier in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Eyewear Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.