SHORELINE OPTICAL, LLC (NPI# 1114097359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097359 |
| Entity Type | Organization |
| Organization Name | SHORELINE OPTICAL, LLC |
| Practice Address |
1266 E Sherman Blvd Muskegon MI 49444-1847 |
| Mailing Address |
1266 E. Sherman Blvd. Muskegon MI 49444 |
| Practice Telephone | 2317399009 |
| Practice Fax Number | 2317330566 |
| Mailing Telephone | 2317399009 |
| Mailing Fax Number | 2317330566 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-02-17 |
| Authorized Official Name | MICHELLE CASSENS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2317399009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326383506 | Shoreline Optical, LLC | Technician/Technologist | 1401 W Main St, Suite 101, Fremont, MI 49412-1486 | 2012-11-29 |
| 1972808921 | Shoreline Optical, LLC | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2011-01-24 |
| 1356586895 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 3375 Mccracken St, Norton Shores, MI 49441-3670 | 2008-12-12 |
| 1629252598 | Shoreline Optical, LLC | Eyewear Supplier (Equipment, not the service) | 301 Center St, North Muskegon, MI 49445-3104 | 2007-12-27 |
| 1184781676 | Shoreline Optical, LLC | Technician/Technologist | 1445 Sheldon Rd, Suite 100, Grand Haven, MI 49417-2480 | 2007-01-03 |
| Street Address |
1266 E SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49444-1847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403838 | Kenneth Alan Otto Jr. | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2005-11-09 |
| 1730787508 | Jessica Wilson | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2020-10-14 |
| 1972808921 | Shoreline Optical, LLC | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2011-01-24 |
| 1033448394 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2009-12-16 |
| 1306066634 | Nathan Paul Reed | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2007-04-27 |
| 1679643670 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1306916317 | Shoreline Ophthalmology, PC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| 1174545487 | Joshua David Metzger | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-07-24 |
| 1861439416 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-06-01 |
| 1366420168 | Todd James Riker | Optometrist | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1831687276 | Sarah J Weiden | Massage Therapist | 1040 E Sternberg Rd, Muskegon, MI 49444 | 2018-04-30 |
| 1184131500 | Hatem M Gelani Sr. | Dentist | 1725 E Sherman Blvd, Muskegon, MI 49444 | 2018-01-08 |
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1689077075 | Rosa Carpenter-parker | Counselor | 445 East Sherman, Muskegon, MI 49444 | 2014-09-30 |
| 1417373036 | Smile Center Pllc | Dentist | 3500 Park Street, Smile Center Pllc, Muskegon, MI 49444 | 2014-03-06 |
| 1134460439 | Adam L Powell | Physical Medicine & Rehabilitation | 1675 E Mount Garfield Rd, Muskegon, MI 49444 | 2013-03-12 |
| 1972847135 | Kristen Haugh | Physical Therapist | 5251 Harvey St Ste 100, Norton Shores, MI 49444 | 2012-11-12 |
| 1912261694 | Brandon D Freel | Obstetrics & Gynecology | 6401 Prairie St Ste 2100, Norton Shores, MI 49444 | 2012-06-27 |
| 1437434487 | Amy Stegall | Pharmacist | 1171 E Sherman, Norton Shores, MI 49444 | 2011-10-20 |
| Find all providers in zip 49444 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306208483 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5866 Harvey St, Muskegon, MI 49444-6720 | 2016-03-28 |
| 1649689399 | Mercy Health Heealthcare Equipment | Durable Medical Equipment & Medical Supplies | 1124 E Hackley Ave, Muskegon, MI 49444-1874 | 2014-08-07 |
| 1508206251 | Air-caire Home Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 2440 Glade St, Muskegon, MI 49444-1365 | 2013-06-26 |
| 1750639415 | Woodward Detroit Cvs, LLC | Durable Medical Equipment & Medical Supplies | 2010 E Apple Ave, Muskegon, MI 49442-4348 | 2012-08-28 |
| 1477844389 | Customized Mobility, LLC | Durable Medical Equipment & Medical Supplies | 514 Escanaba Ln, Muskegon, MI 49442-7604 | 2011-04-26 |
| 1073652277 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 700 W Norton Ave, Muskegon, MI 49441-4751 | 2007-02-05 |
| 1023173937 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 5300 Harvey St, Muskegon, MI 49444-9767 | 2006-12-22 |
| 1326112855 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3036 Sheffield St, Ste A, Muskegon, MI 49441-4000 | 2006-11-17 |
| 1659480135 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 2635 Henry Street, Muskegon, MI 49441-3507 | 2006-08-29 |
| 1831208396 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 821 East Apple Avenue, Muskegon, MI 49442-3737 | 2006-08-29 |
| Find all providers in MUSKEGON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.