DR. DIRK SCHROTENBOER (OD) – Optometrist, NPI 1205807955

DR. DIRK SCHROTENBOER (OD) is a healthcare provider. based in Holland, Michigan. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 521576 (MI). The NPI Number for DR. DIRK SCHROTENBOER (OD) is 1205807955

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIRK SCHROTENBOER (OD)
NPI
1205807955
Phone
(616) 395-0606
Address
11971 JAMES ST
Enumeration Date
31 January 2006
Last Update Date
23 June 2010

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
2317399009
Graduation Year
1976 (50 years ago)
PAC ID
0547323495
Group Practice PAC ID
3678537628
Professional Enrollment ID
I20090120000521
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DIRK SCHROTENBOER (OD)

  • 11971, James Street, Holland Charter Township, Ottawa County, Michigan, 49424, United States

    HOLLAND, MI 494249610

    Phone: (616) 395-0606

    Fax: (616) 395-0070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $404.

Total Amount is formed as General ($404) + Research ($0) + Ownership ($0) = $404.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Sight Sciences, Inc. ($260).

Total Amount

$404

General + Research + Ownership

Payments

5

Total payment records

General Amount

$404

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49424)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678537628View full group profile
NameSpecialtyState
-MI
O P T O M E T R YMI
-MI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P T O M E T R YMI
-MI
O P H T H A L M O L O G YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

What federal number belongs to DR. DIRK SCHROTENBOER (OD)?
The federal identifier for DR. DIRK SCHROTENBOER (OD) is NPI 1205807955.
Is DR. DIRK SCHROTENBOER (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. DIRK SCHROTENBOER (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. DIRK SCHROTENBOER (OD). Clinical services aligned with this taxonomy classification.
Where does public data place DR. DIRK SCHROTENBOER (OD)?
The snapshot lists Holland, Michigan for DR. DIRK SCHROTENBOER (OD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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