SHORELINE OPTICAL, LLC (NPI# 1629252598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629252598 |
| Entity Type | Organization |
| Organization Name | SHORELINE OPTICAL, LLC |
| Other Organization Name | SHORELINE OPTICAL |
| Practice Address |
301 Center St North Muskegon MI 49445-3104 |
| Mailing Address |
1266 E Sherman Blvd Muskegon MI 49444-1847 |
| Practice Telephone | 2317444580 |
| Practice Fax Number | 2317442869 |
| Mailing Telephone | 2317399009 |
| Mailing Fax Number | 2317330566 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2020-02-17 |
| 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 | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Shoreline Optical | Doing Business As Name - Organization |
| 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 |
| 1184781676 | Shoreline Optical, LLC | Technician/Technologist | 1445 Sheldon Rd, Suite 100, Grand Haven, MI 49417-2480 | 2007-01-03 |
| 1114097359 | Shoreline Optical, LLC | Durable Medical Equipment & Medical Supplies | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2006-11-08 |
| Street Address |
301 CENTER ST |
| City | NORTH MUSKEGON |
| State | MI |
| Zip Code | 49445-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194910307 | Shoreline Ophthalmology, PC | Optometrist | 301 Center St, North Muskegon, MI 49445-3104 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659880961 | Northshore Dental Associates P.C. | Dentist | 1179 Whitehall Road, Suite A, Muskegon, MI 49445 | 2017-09-29 |
| 1154874311 | Debbie Freed | Contractor | 3444 Automobile Road, Muskegon, MI 49445 | 2016-07-25 |
| 1346698784 | Spectrum Health Primary Care Partners | Internal Medicine | 2009 Holton Road, Muskegon, MI 49445 | 2016-05-26 |
| 1750637492 | Zenaida Vasquez-johnson | Dental Hygienist | 650 Horton Road, N. Muskegon, MI 49445 | 2012-07-31 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1558543322 | Dawn June Prince | Technician/Technologist | 1343 Whitehall Road, Muskegon, MI 49445 | 2007-12-03 |
| 1578602397 | Eric David Stawski | Dentist | 1634 Holton Road, Muskegon, MI 49445 | 2007-02-06 |
| 1386700318 | Sharon Rubick | Durable Medical Equipment & Medical Supplies | 2411 Lake Ave, #21, North Muskegon, MI 49445 | 2006-12-27 |
| 1962574129 | Thompson Greig Boyd | Dentist | 200 Holton Rd, Suite H, North Muskegon, MI 49445 | 2006-11-14 |
| 1467548974 | Stephanie Jo Grinstead | Physical Therapy Assistant | 1712 Holton Road, Suite B, Muskegon, MI 49445 | 2006-10-04 |
| Find all providers in zip 49445 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
| 1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
| 1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| 1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1831700061 | Optics Center | Eyewear Supplier (Equipment, not the service) | 6645 Schaefer Rd, Dearborn, MI 48126-1812 | 2020-08-11 |
| 1538784327 | Sassy Eyes Boutique, LLC | Eyewear Supplier (Equipment, not the service) | 28911 7 Mile Rd, Livonia, MI 48152-3503 | 2020-06-08 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
| Find all providers with the same taxonomy | ||||
| City | NORTH MUSKEGON |
| Zip Code | 49445 |
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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.