OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC – NPI #1174974356
Ophthalmology

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Health Care Provider Taxonomy Code for Ophthalmology

OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC is an ophthalmologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1174974356 to OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC on June 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207WX0200X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery

The NPI profile was previously updated about 10 years ago on Oct 05, 2016. 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 OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC below.

NPI Profile for
OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC

NPI Number
1174974356
Enumeration Date

(about 10 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
OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC
Primary location
4070 LAKE DR SE
SUITE 205
GRAND RAPIDS, MI 49546-8294
Phone: (616) 888-2948 Fax: (616) 888-2949
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIFFANY KENT
OWNER, PHYSICIAN
Phone: (616) 888-2948
Updated
Identifiers

Identifiers for OCULOPLASTIC ASSOCIATES OF WEST MICHIGAN, PLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPI1164686812
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
207WX0200X
- Ophthalmology / Ophthalmic Plastic and Reconstructive Surgery (Primary)		 MI 4301092933

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.