Kalamazoo Optometry PC
NPI 1417148669 · Optometrist · Portage, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kalamazoo Optometry PC is a Optometrist organization in Portage, MI (NPI 1417148669).
Provider details
- NPI number
- 1417148669
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Stacy Hiemstra, Office Manager(269) 382-6500
- License
- 4901002440 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-05
- Last updated
- 2024-05-29
- Certified
- 2024-05-29
Frequently asked questions
- What is Kalamazoo Optometry PC's NPI number?
- Kalamazoo Optometry PC's National Provider Identifier (NPI) is 1417148669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kalamazoo Optometry PC?
- Kalamazoo Optometry PC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kalamazoo Optometry PC located?
- Kalamazoo Optometry PC's practice location on file with NPPES is 5949 Lovers Ln, Portage, MI 49002-1680.
- What is Kalamazoo Optometry PC's phone number?
- The practice phone number listed in the NPPES registry for Kalamazoo Optometry PC is (269) 382-6500.
- Does Kalamazoo Optometry PC accept Medicare?
- Kalamazoo Optometry PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kalamazoo Optometry PC?
- The authorized official listed on Kalamazoo Optometry PC's NPPES record is Stacy Hiemstra, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kalamazoo Optometry PC's NPI active?
- Yes — Kalamazoo Optometry PC's NPI (1417148669) is active in the NPPES registry as of the last update on 2024-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.