Kalamazoo Optometry PC
NPI 1417148669ActiveOrganization· Optometrist· Portage, MI
Optometrist in Portage, Michigan, registered in NPPES in August 2007. The authorized official on file is Stacy Hiemstra, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417148669 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2007 |
| Last updated in NPPES | May 29, 2024 |
| Certified by provider | May 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901002237 | MI |
| Optometrist | 152W00000X | 4901002440 | MI |
| Optometrist | 152W00000X | 4901004197 | MI |
| Optometrist | 152W00000X | 4901002352 | 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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