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

Grand Traverse Ophthalmology Clinic PC

Organization Optometrist · NPI 1265426514

Grand Traverse Ophthalmology Clinic PC is an Optometrist in Traverse City, Michigan. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

929 Business Park Dr
Traverse City, MI 49686-8683
Phone: (231) 947-6246
Fax: (231) 947-8864
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X

Record details

NPI number1265426514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanne Musser — Billing Manager · (231) 932-4336
NPI enumeratedSeptember 1, 2005
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address929 Business Park Dr, Traverse City, MI 49686-8683

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