Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Address Healthcare of Michigan PLLC

Organization Optometrist · NPI 1043075294

Address Healthcare of Michigan PLLC is an Optometrist in Grand Rapids, Michigan. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 Monroe Ave NW Ste 104
Grand Rapids, MI 49503-1470
Phone: (616) 366-4234
Fax: (855) 548-4481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Optometrist Taxonomy 152W00000X
Hospice and Palliative Medicine (Internal Medicine) Physician Taxonomy 207RH0002X
Geriatric Psychiatry Physician Taxonomy 2084P0805X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X
Adult Health Nurse Practitioner Taxonomy 363LA2200X

Record details

NPI number1043075294
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Wacksman — Authorized Official · (616) 366-4234
Other names Address Healthcare; Address Healthcare; Address Healthcare Of Michigan
NPI enumeratedFebruary 16, 2024
Last updated in NPPESMay 5, 2025
Certification dateApril 18, 2025
Mailing address3940 Peninsular Drive Se, Ste 230, Grand Rapids, MI 49546-2442

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