SHORELINE OPHTHALMOLOGY, PC (NPI# 1588859797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588859797 |
| Entity Type | Organization |
| Organization Name | SHORELINE OPHTHALMOLOGY, PC |
| Practice Address |
1401 W Main St Suite 101 Fremont MI 49412-1486 |
| Mailing Address |
1266 E Sherman Blvd Muskegon MI 49444-1847 |
| Practice Telephone | 2319249009 |
| Practice Fax Number | 2319244604 |
| Mailing Telephone | 2317399009 |
| Mailing Fax Number | 2317330566 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MRS. MICHELLE CASSENS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2317399009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033448394 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2009-12-16 |
| 1861637332 | Shoreline Ophthalmology, PC | Optometrist | 3375 Mccracken St, Norton Shores, MI 49441-3670 | 2008-12-11 |
| 1194910307 | Shoreline Ophthalmology, PC | Optometrist | 301 Center St, North Muskegon, MI 49445-3104 | 2007-09-11 |
| 1790841658 | Shoreline Ophthalmology, PC | Ophthalmology | 1445 Sheldon Rd Ste 100, Harbor Dunes Health Center, Grand Haven, MI 49417-2479 | 2006-12-28 |
| 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 |
| 1861439416 | Shoreline Ophthalmology, PC | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-06-01 |
| Street Address |
1401 W MAIN ST SUITE 101 |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083117196 | Nichole Cruzan | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-15 |
| 1073016150 | Julie Kathleen Chilson | Occupational Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-14 |
| 1306349931 | Mary Ethel Lobrigas | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-09 |
| 1962904755 | Matthew Conrad Zahl | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1801398698 | Ryan Thomas Gailey | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1114429917 | Ashley Tomlinson | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-03-07 |
| 1447750146 | Beth Ann Vantreese | Physical Therapist | 1401 W Main St, Fremont, MI 49412-1486 | 2018-02-19 |
| 1326383506 | Shoreline Optical, LLC | Technician/Technologist | 1401 W Main St, Suite 101, Fremont, MI 49412-1486 | 2012-11-29 |
| 1447586094 | Newaygo County General Hospital Association | Dietitian, Registered | 1401 W Main St, Fremont, MI 49412-1486 | 2009-11-02 |
| 1942322946 | Fremont Orthopaedics Pllc | Orthopaedic Surgery | 1401 W Main St, Suite 100, Fremont, MI 49412-1472 | 2007-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
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| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922242213 | Susan Elizabeth Smith | Ophthalmology | 2311 W Hayes Ave, Fremont, OH 43420-2634 | 2009-04-30 |
| 1447441126 | Ami Shah | Ophthalmology | 38707 Stivers St Ste B, Fremont, CA 94536-5337 | 2007-08-07 |
| 1952331035 | Kenneth C. Low Md A Professional Corporation | Ophthalmology | 38707 Stivers St, #b, Fremont, CA 94536-5337 | 2006-07-04 |
| 1417905456 | Jay Mehta | Ophthalmology | 39263 Mission Blvd., Fremont, CA 94536 | 2006-05-04 |
| 1811997646 | Fang Tan | Ophthalmology | 1895 Mowry Ave, Suite 101, Fremont, CA 94538-1737 | 2005-07-22 |
| 1114920543 | Gregory Eugene Haskins | Ophthalmology | 2827 N Clarkson St, Fremont, NE 68025-7714 | 2005-05-31 |
| 1972958866 | David Israel Green | Ophthalmology | 39263 Mission Blvd, Fremont, CA 94539-3037 | 2016-04-28 |
| 1740576040 | Patricia Ann Terp | Ophthalmology | 2827 N Clarkson St, Fremont, NE 68025-7714 | 2011-06-24 |
| 1477872430 | East Bay Eyecare Professionals, Inc. | Ophthalmology | 1860 Mowry Ave, Suite 101, Fremont, CA 94538-1730 | 2010-05-28 |
| 1891025813 | James N Cohn Md Inc | Ophthalmology | 3775 Beacon Ave, Suite 140, Fremont, CA 94538-1465 | 2010-01-14 |
| Find all providers in FREMONT | ||||
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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.