OrganizationActive
Advanced Eye Care of Grand Rapids, PLC
NPI 1629105788 · Optometrist · Grand Rapids, MI
Provider details
- NPI number
- 1629105788
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Patrick Holser, Member(616) 361-2020
- License
- 4010004245 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5258 Plainfield Ave Ne
Suite F
Grand Rapids, MI 49525-1092
Phone: (616) 361-2020
Street-level locationGet directions
Mailing address
5258 Plainfield Ave Ne
Grand Rapids, MI 49525-1092
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2007-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.