OrganizationActive
Pediatric Ophthalmology PC
NPI 1225278880 · Pediatric Optometrist · Grand Rapids, MI
Provider details
- NPI number
- 1225278880
- Entity type
- Organization
- Primary specialty
- Pediatric OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Deborah Droste, Administrator(616) 957-0866
- License
- 003979 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5050 Cascade Rd Se
Grand Rapids, MI 49546-3707
Phone: (616) 957-0866
Fax: (616) 957-4102
Street-level locationGet directions
Mailing address
5050 Cascade Rd Se
Grand Rapids, MI 49546-3707
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2025-09-11
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.