PEDIATRIC OPHTHALMOLOGY PC
PEDIATRIC OPHTHALMOLOGY PC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1225278880, based in Grand Rapids, MI. It is classified under Pediatric Optometrist.
Getting there
The practice address on file is 5050 CASCADE RD SE, Grand Rapids, MI 49546. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 003979 | MI | Pediatric Optometrist primary |
This provider holds licence 003979 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3678730645
- Enrollment ID
- O20120202000184
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. NUCC Health Care Provider Taxonomy, code 152WP0200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1225278880 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 23, 2009 |
| Last updated | Sep 11, 2025 |
| Status | Active |
| Practice address |
5050 CASCADE RD SE Grand Rapids, MI 49546 (616) 957-0866 Fax (616) 957-4102 |
| Other identifiers |
2636622
· Medicaid (MI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 2 | 7 | 8 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 4 | 7 | 7 | 8 | 7 |
Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.