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

Spectrum Health Primary Care Partners

Organization Optometrist · NPI 1619286663

Spectrum Health Primary Care Partners is an Optometrist in Grand Rapids, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

4069 Lake Dive SE Ste 314
Grand Rapids, MI 49546
Phone: (616) 284-8870
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X

Record details

NPI number1619286663
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedSeptember 24, 2010
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Other providers in Grand Rapids