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Pediatric Ophthalmology PC

Pediatric Optometrist in Grand Rapids, MI · enumerated 2009 · authorized official Deborah Droste, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1225278880

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Ophthalmology PC
Practice address 5050 Cascade Rd Se, Grand Rapids, MI, 49546
Fax (616) 957-4102
Enumeration date Feb 23, 2009
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

152WP0200X Pediatric Optometrist Eye and Vision Services Providers · License 003979 (MI) Primary

Authorized official

Name Deborah Droste
Title Administrator

Other identifiers

Identifier Type State Issuer
2636622 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pediatric Ophthalmology PC?
Pediatric Ophthalmology PC is registered in NPPES as a Pediatric Optometrist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.