Pediatric Ophthalmology PC
NPI 1225278880 · Pediatric Optometrist · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Ophthalmology PC is a Pediatric Optometrist organization in Grand Rapids, MI (NPI 1225278880).
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
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
Mailing address
Registry dates
- Enumerated
- 2009-02-23
- Last updated
- 2025-09-11
- Certified
- 2020-04-21
Frequently asked questions
- What is Pediatric Ophthalmology PC's NPI number?
- Pediatric Ophthalmology PC's National Provider Identifier (NPI) is 1225278880, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Ophthalmology PC?
- Pediatric Ophthalmology PC is classified in the NPPES registry as Pediatric Optometrist (Eye and Vision Services Providers).
- Where is Pediatric Ophthalmology PC located?
- Pediatric Ophthalmology PC's practice location on file with NPPES is 5050 Cascade Rd Se, Grand Rapids, MI 49546-3707.
- What is Pediatric Ophthalmology PC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Ophthalmology PC is (616) 957-0866.
- Does Pediatric Ophthalmology PC accept Medicare?
- Pediatric Ophthalmology PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Ophthalmology PC?
- The authorized official listed on Pediatric Ophthalmology PC's NPPES record is Deborah Droste, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Ophthalmology PC's NPI active?
- Yes — Pediatric Ophthalmology PC's NPI (1225278880) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.