OrganizationActive
Cedar Run Eye Center-Beulah Optical
NPI 1942420096 · Eyewear Supplier · Traverse City, MI
Cedar Run Eye Center-Beulah Optical is a Eyewear Supplier organization in Traverse City, MI (NPI 1942420096).
Provider details
- NPI number
- 1942420096
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jennifer Grochowalski, Administration(231) 929-3888
Specialties & taxonomies
Suppliers
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
3830 W Front St
Traverse City, MI 49684-8153
Phone: (231) 929-3888
Fax: (231) 929-4365
Street-level locationGet directions
Mailing address
Po Box 2335
Traverse City, MI 49685-2335
Registry dates
- Enumerated
- 2007-04-30
- Last updated
- 2007-11-05
Frequently asked questions
- What is Cedar Run Eye Center-Beulah Optical's NPI number?
- Cedar Run Eye Center-Beulah Optical's National Provider Identifier (NPI) is 1942420096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Run Eye Center-Beulah Optical?
- Cedar Run Eye Center-Beulah Optical is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Cedar Run Eye Center-Beulah Optical located?
- Cedar Run Eye Center-Beulah Optical's practice location on file with NPPES is 3830 W Front St, Traverse City, MI 49684-8153.
- What is Cedar Run Eye Center-Beulah Optical's phone number?
- The practice phone number listed in the NPPES registry for Cedar Run Eye Center-Beulah Optical is (231) 929-3888.
- Who is the authorized official for Cedar Run Eye Center-Beulah Optical?
- The authorized official listed on Cedar Run Eye Center-Beulah Optical's NPPES record is Jennifer Grochowalski, Administration. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Run Eye Center-Beulah Optical's NPI active?
- Yes — Cedar Run Eye Center-Beulah Optical's NPI (1942420096) is active in the NPPES registry as of the last update on 2007-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.