Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Optometrist · Grand Rapids, MI

NPI number 1619286663 Active

Practice location

4069 Lake Dive SE, Suite 314
Grand Rapids, MI 49546

Call (616) 284-8870 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	None listed
Clinical Cardiac Electrophysiology Physician	207RC0001X	None listed

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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NPI record

NPI: 1619286663
Entity type: Organization (Type 2)
Issued: Sep 24, 2010
Last updated: Oct 31, 2023
Status: Active
Subpart: Yes of Spectrum Health Primary Care Partners

Other names

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Corewell Health Medical Group West · doing business as

Authorized official

Pauline Krywanski
SVP
(616) 486-2253

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619286663

Spectrum Health Primary Care Partners's National Provider Identifier is 1619286663, issued on Sep 24, 2010. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 31, 2023.