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

Plastic and Reconstructive Eye Surgery PC

Organization Ophthalmology Physician · NPI 1417998337

Plastic and Reconstructive Eye Surgery PC is an Ophthalmology Physician in Grand Rapids, Michigan. Registered with an NPI since 2006.

In the registry since
2006
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

2757 Leonard St NE
Grand Rapids, MI 49525-5807
Phone: (616) 942-6687
Fax: (616) 942-9797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1417998337
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Meldrum — Owner President · (616) 942-6687
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 2, 2008
Mailing address2757 Leonard St Ne, Grand Rapids, MI 49525-5807

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