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Kalamazoo Optometry PC

Optometrist in Portage, MI · enumerated 2007 · authorized official Stacy Hiemstra, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417148669

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Registry record

Entity type Organization (Type 2)
Legal business name Kalamazoo Optometry PC
Practice address 5949 Lovers Ln, Portage, MI, 49002
Phone (269) 382-6500
Fax (269) 382-2286
Enumeration date Aug 5, 2007
Last updated in NPPES May 29, 2024

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 4901002440 (MI) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 4901004197 (MI) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 4901002237 (MI) Primary
152W00000X Optometrist Eye and Vision Services Providers · License 4901002352 (MI) Secondary

Authorized official

Name Stacy Hiemstra
Title Office Manager
Phone (269) 382-6500

Other identifiers

Identifier Type State Issuer
945006007 Medicaid MI -
900C947460 Other MI BLUE CROSS BLUE SHIELD
945031190 Medicaid MI -
944536386 Medicaid MI -
945006016 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Kalamazoo Optometry PC?
NPPES lists Stacy Hiemstra (Office Manager) as the authorized official for this organization.
What is the NPI number for Kalamazoo Optometry PC?
The NPI for Kalamazoo Optometry PC is 1417148669, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-29.