Provider Type Icon

KALAMAZOO OPHTHALMOLOGY PC NPI 1467475723


NPI Information

NPI: 1467475723
Provider Name: KALAMAZOO OPHTHALMOLOGY PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
3412 W CENTRE AVE
PORTAGE, MI
ZIP 49024
Phone: (269) 329-5860
Get Directions

KALAMAZOO OPHTHALMOLOGY PC is an ophthalmology in Portage, MI. The provider is 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. KALAMAZOO OPHTHALMOLOGY PC NPI is 1467475723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3412 W CENTRE AVE
PORTAGE, MI
ZIP 49024-624
Phone: (269) 329-5860
Fax: (269) 329-5865

The provider's authorized official is Stephen E Higgins .
The authorized official title is Owner and has the following contact phone number (269) 329-5860.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/18/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1900C965580OTHERFERRIS STANDIFORD
2180C910010OTHERBCN GROUP
34073524MEDICAIDMICHIGAN
4=========OTHERGROUP TAX ID
5H65169MEDICARE UPIN
6T96815MEDICARE UPIN
70C96032013MEDICARE ID-TYPE UNSPECIFIEDGREGORY BIBART
8GB072121OTHERMICHIGANGREGORY BIBART
90N31700MEDICARE ID-TYPE UNSPECIFIEDFERRIS STANDIFORD
104415148MEDICAIDMICHIGAN
11SH405954OTHERMICHIGANSTEPHEN HIGGINS
12E07323MEDICARE UPIN
13180C960320OTHERBCBS GROUP
141803901811OTHERSTEPHEN HIGGINS
150C96032007MEDICARE ID-TYPE UNSPECIFIEDSTEPHEN E HIGGINS
162669516MEDICAIDMICHIGAN
17FS003034OTHERMICHIGANFERRIS STANDIFORD
181803906051OTHERGREGORY BIBART
191863900012OTHERGREGORY BIBART

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.