OrganizationActive
Andersen Eye Prosthetics LLC
NPI 1518232040 · Ocularist · Grand Rapids, MI
Provider details
- NPI number
- 1518232040
- Entity type
- Organization
- Primary specialty
- OcularistEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Alicia O'Connor, Ceo(989) 341-7170
- License
- 5001000027 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2757 Leonard St Ne
Ste 300
Grand Rapids, MI 49525-5807
Phone: (989) 797-2400
Fax: (989) 249-1035
Street-level locationGet directions
Mailing address
5161 Cardinal Park Dr
Saginaw, MI 48604-9435
Registry dates
- Enumerated
- 2012-03-16
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.