Grand Rapids Ophthalmology – Ophthalmology Physician, NPI 1801977202
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Grand Rapids Ophthalmology
East Beltline Avenue Northeast, Grand Rapids, Kent County, Michigan, 49506, United States
GRAND RAPIDS, MI 495259324
Phone: (616) 949-2600
Fax: (616) 954-0213
Type: Mailing
511 Wilson Ave NW
Grand Rapids, MI 495347986
Phone: (616) 949-2600
Type: Location
5477 W Clark Rd
Ypsilanti, MI 481971102
Phone: (734) 434-6000
Type: Location
705 S Greenville West Dr Ste 201
Greenville, MI 488383531
Phone: (616) 949-2600
Type: Location
1922 Monroe St
Dearborn, MI 481242917
Phone: (313) 274-7540
Type: Location
717 Bagley Ave SE
Grand Rapids, MI 495063001
Phone: (616) 949-2600
Type: Location
6050 Northland Dr NE Ste 100
Rockford, MI 493419257
Phone: (616) 949-2600
Type: Location
3300 Walker Vw NW
Walker, MI 495449139
Phone: (616) 949-2600
Type: Location
112 S Clay St
Greenville, MI 488381914
Phone: (616) 949-2600
Type: Location
3235 N Wellness Dr Ste 130
Holland, MI 494247265
Phone: (616) 949-2600
Type: Location
10047 Crossroad Ct SE
Caledonia, MI 493167316
Phone: (616) 949-2600
Type: Location
537 W Main St
Ionia, MI 488461652
Phone: (616) 949-2600
Type: Location
80 68th St SE
Grand Rapids, MI 495486980
Phone: (616) 949-2600
Type: Location
4475 Wilson Ave SW
Grandville, MI 494182368
Phone: (616) 949-2600
Type: Location
4020 Venoy Rd Ste 600
Wayne, MI 481841891
Phone: (734) 595-9422
Fax: (734) 326-3164
Type: Location
19335 Allen Rd
Brownstown Twp, MI 481831003
Phone: (734) 479-5580
Fax: (734) 479-5586
Type: Location
1060 N 10th St
Kalamazoo, MI 490096113
Phone: (269) 353-9700
Type: Location
Grand Rapids Township Fire Station 1, East Beltline Avenue Northeast, Grand Rapids Charter Township, Kent County, Michigan, 49525, United States
GRAND RAPIDS, MI 495256049
Phone: (616) 949-2600
Fax: (616) 954-0213
Type: Location
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 495256049
Phone: (616) 949-2600
Fax: (616) 954-0213
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040913000036 | O | Clinic/Group Practice | MI | TBD |
| O20050225000498 | O | Clinic/Group Practice | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 49525)
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