MEDICARE: DAVID THOMAS SZCZEPANSKI O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4901003211	MI

General Provider Information

NPI Number	:	1316083843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID THOMAS SZCZEPANSKI O.D.

Provider Business Mailing Address
First Line	:	1950 OLD GALLOWS RD STE 520
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-3970
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	6749 CASCADE RD SE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-6849
Country	:	US
Telephone Number	:	616-957-3099
Fax Number	:	616-957-3729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	04/15/2021

Similar Medicare Providers

1326105156 — RX OPTICAL LABORATORIES, INC.
Practice Location Address:

6749 CASCADE RD SE
GRAND RAPIDS, MI
49546-6849

Practice Phone: 616-957-3099
Practice Fax:

1922209451 — DR. AMY LOU BUCHANAN OD
Practice Location Address:

6749 CASCADE RD SE
GRAND RAPIDS, MI
49546-6849

Practice Phone: 616-957-3099
Practice Fax: 616-957-3729

1235469859 — DR. JAMES E EMMS D.C.
Practice Location Address:

6771 CASCADE RD SE
GRAND RAPIDS, MI
49546-6849

Practice Phone: 616-975-1100
Practice Fax:

1043524366 — GRAND RAPIDS FAMILY CHIROPRACTIC INC
Practice Location Address:

6771 CASCADE RD SE
GRAND RAPIDS, MI
49546-6849

Practice Phone: 616-975-1100
Practice Fax: 616-975-1121

1073137592 — REHABPROS LLC
Practice Location Address:

6757 CASCADE RD SE # 136
GRAND RAPIDS, MI
49546-6849

Practice Phone: 616-383-5678
Practice Fax:

1528643004 — MYEYEDR OPTOMETRY OF MICHIGAN, LLC
Practice Location Address:

6749 CASCADE RD SE
GRAND RAPIDS, MI
49546-6849

Practice Phone: 616-957-3099
Practice Fax: 616-957-3729

Directions to “ DAVID THOMAS SZCZEPANSKI O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.