Grand Rapids Vision Therapy LLC
NPI 1568932994ActiveOrganization· Optometrist, Vision Therapy· Grand Rapids, MI
Optometrist, Vision Therapy in Grand Rapids, Michigan, registered in NPPES in November 2018. The authorized official on file is Charles Ian Fortenbacher, Cfo.
Overview
| NPI | 1568932994 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2018 |
| Last updated in NPPES | Nov 28, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Vision Therapy Primary | 152WV0400X | — | — |
| Optometrist, Sports Vision | 152WS0006X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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