MEDICARE: CO-OPTICAL EYE CARE EXPRESS INC.

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	4901002766	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900F111900	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1316122153
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CO-OPTICAL EYE CARE EXPRESS INC.

Provider Business Mailing Address
First Line	:	499 W NORTON AVE
Second Line	:
City	:	MUSKEGON HTS
State	:	MI
Zip	:	49444-3727
Country	:	US
Telephone Number	:	231-733-2685
Fax Number	:	231-737-1236

Provider Business Practice Location Address
First Line	:	499 W NORTON AVE
Second Line	:
City	:	MUSKEGON HTS
State	:	MI
Zip	:	49444-3727
Country	:	US
Telephone Number	:	231-733-2685
Fax Number	:	231-737-1236

Authorized Official
Title or Position	:	O.D.
Name	:	MARK SHUNTA
Credential	:	O.D.
Telephone Number	:	231-733-2685

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	12/31/2014

Similar Medicare Providers

1336250026 — MUSKEGON COOPERATIVE, INC
Practice Location Address:

499 W NORTON AVE
MUSKEGON, MI
49444-3727

Practice Phone: 231-733-2685
Practice Fax: 231-737-1236

1174779318 — DR WILLIAM B BRAND S.C.
Practice Location Address:

1794 S ARLINGTON HEIGHTS RD
ARLINGTON HTS, IL
60005-3727

Practice Phone: 847-640-1211
Practice Fax: 847-640-1218

1003255050 — MR. ADAM LLOYD REYNOLDS LMSW, CASAC
Practice Location Address:

3727 86TH ST APT 5R
JACKSON HTS, NY
11372-7416

Practice Phone: 917-216-0614
Practice Fax:

1104213248 — DEBORAH DRANE
Practice Location Address:

3333 WARRENSVILLE CENTER RD APT 305
SHAKER HTS, OH
44122-3727

Practice Phone: 216-926-7129
Practice Fax:

1932106564 — DR. CHRISTIAN A PEABODY DDS
Practice Location Address:

2201 S. GETTY STREET
MUSKEGON HTS., MI
49444-1207

Practice Phone: 231-767-9830
Practice Fax: 231-773-2454

1588775175 — MARK A SHUNTA OD
Practice Location Address:

499 W NORTON AVE
MUSKEGON HTS, MI
49444

Practice Phone: 231-733-2685
Practice Fax: 231-737-1236

Directions to “CO-OPTICAL EYE CARE EXPRESS INC. ” 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 © 2007-2026 (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.