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

Pediatric Ophthalmology PC

Organization Pediatric Optometrist · NPI 1225278880

Pediatric Ophthalmology PC is a Pediatric Optometrist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
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

5050 Cascade Rd SE
Grand Rapids, MI 49546-3707
Phone: (616) 957-0866
Fax: (616) 957-4102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Optometrist (primary) Taxonomy 152WP0200X · Licence 003979 (MI)

Record details

NPI number1225278880
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Droste — Administrator · (616) 957-0866
NPI enumeratedFebruary 23, 2009
Last updated in NPPESSeptember 11, 2025
Certification dateApril 21, 2020
Mailing address5050 Cascade Rd Se, Grand Rapids, MI 49546-3707

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