Specialized Eye Care and Eye Wear Services, PLLC

Public-record details

Address

1325 W South Airport Rd, Traverse City, MI 49686

Phone

(231) 947-6767

Listed under

Optometry practices, Medicare-enrolled groups (CMS)

NPI

1225489909

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Optometrist (152W00000X)

License number on NPI record

4901004572 (MI)

NPI first issued

Jun 24, 2016

Years since NPI first issued

10 years (since 2016)

License state on NPI record

MI

NPI record last updated

Jul 12, 2016

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Specialized Eye Care and Eye Wear Services, PLLC

Clinicians in the Medicare group (all specialties, CMS)

2

Optometrists and ophthalmologists in the group at this ZIP (CMS)

2

Group Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

NPI 1225489909 is active in the federal NPPES registry (CMS) with Optometrist as its self-reported primary taxonomy; license 4901004572 (MI) is listed on the record. CMS Doctors & Clinicians lists a Medicare-enrolled group with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

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What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Optometrists (OD) examine eyes, prescribe glasses and contact lenses and treat some eye conditions; what they may treat varies by state. Confirm each clinician's license with the state optometry board.

View NPI 1225489909 in the official registry ↗