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

Michigan Medical PC

Organization Optometrist · NPI 1952565749

Michigan Medical PC is an Optometrist in Grand Rapids, Michigan. Registered with an NPI since 2008.

In the registry since
2008
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

4069 Lake Dr SE Ste 315
Grand Rapids, MI 49546-8816
Phone: (616) 464-2890
Fax: (616) 464-2891
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1952565749
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMichigan Medical PC
Authorized official Scott Harring — Cfo · (616) 974-4889
NPI enumeratedJuly 11, 2008
Last updated in NPPESJuly 11, 2008
Mailing address4085 Burton St Se, Suite 200, Grand Rapids, MI 49546-2444

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