Kalamazoo Optometry PC
Kalamazoo Optometry PC is a healthcare organization registered as Optometrist in Portage, MI, holding Type 2 (organization) NPI 1417148669 since 2007. The authorized official on file is Stacy Hiemstra, Office Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1417148669 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kalamazoo Optometry PC |
| Practice address | 5949 LOVERS LN, Portage, MI, 49002 |
| Phone | 2693826500 |
| Fax | 2693822286 |
| Enumeration date | 2007-08-05 |
| Last updated in NPPES | 2024-05-29 |
Authorized official
| Name | Stacy Hiemstra |
|---|---|
| Title | Office Manager |
| Phone | 2693826500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Secondary | 4901002440 | MI |
| 152W00000X | Optometrist | Secondary | 4901004197 | MI |
| 152W00000X | Optometrist | Secondary | 4901002352 | MI |
| 152W00000X | Optometrist | Primary | 4901002237 | MI |
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 | — |
Copy-ready billing details
Provider: Kalamazoo Optometry PC NPI: 1417148669 Taxonomy: 152W00000X (Optometrist) Address: 5949 LOVERS LN, Portage, MI, 49002
Verify this record
Cross-check NPI 1417148669 against the authoritative CMS record: view Kalamazoo Optometry PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Kalamazoo Optometry PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-05-29.