Pediatric Ophthalmology PC
NPI 1225278880ActiveOrganization· Optometrist, Pediatrics· Grand Rapids, MI
Optometrist, Pediatrics in Grand Rapids, Michigan, registered in NPPES in February 2009. The authorized official on file is Deborah M. Droste, RN BSN, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225278880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 23, 2009 |
| Last updated in NPPES | Sep 11, 2025 |
| Certified by provider | Apr 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Pediatrics Primary | 152WP0200X | 003979 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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