RETINA SPECIALISTS OF MICHIGAN PC – NPI #1801048699
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

RETINA SPECIALISTS OF MICHIGAN PC is an ophthalmologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1801048699 to RETINA SPECIALISTS OF MICHIGAN PC on October 13, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 4 years ago on Jun 06, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RETINA SPECIALISTS OF MICHIGAN PC below.

NPI Profile for
RETINA SPECIALISTS OF MICHIGAN PC

NPI Number
1801048699
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RETINA SPECIALISTS OF MICHIGAN PC
Primary location
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546-3725
Phone: (616) 954-2020 Fax: (616) 949-0408
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HEATHER DUHR
EXECUTIVE DIRECTOR
Phone: (616) 466-7562
Updated
Certification Date
Jun 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
207W00000X
- Ophthalmology		 MI 4301077476

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.