Individual provider Active NPI

Kara Krupp

  • Optometrist
  • Ionia, MI
National Provider Identifier
1003591488
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005724 Issued in MI
Practice address
537 W Main St
Ionia, MI 48846-1652
Phone
(877) 338-9797
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 4901005724 MI Primary

Addresses

Primary practice location

537 W Main St
Ionia, MI 48846-1652

Mailing address

11906 Eden TRL
Eagle, MI 48822-9621
Phone (517) 526-5570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831000769 MI Practitioner - Optometry 7012370505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

3235 N Wellness Dr
Holland, MI 49424-7264
Phone (616) 949-2600

Merit-based Incentive Payment System (MIPS)

Final score
75.03 of 100Reported as group
Quality
85.46
Promoting interoperability
100
Improvement activities
40
Cost
31.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005724MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Vision Eye Care, P.C Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Blue Sky Vision Eye Care, PC CurrentSince Aug 1, 2023 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 588-6506

717 Bagley Ave SE
Grand Rapids, MI 49506
Phone (616) 451-0896

511 Wilson Ave NW
Grand Rapids, MI 49534
Phone (616) 301-8663

4475 Wilson Ave SW
Grandville, MI 49418
Phone (616) 249-0100

705 S Greenville West Dr
Ste 201
Greenville, MI 48838
Phone (616) 754-5667

3235 N Wellness Dr
Ste 130
Holland, MI 49424
Phone (616) 994-9586

3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522

537 W Main St
Ionia, MI 48846
Phone (616) 523-1010

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

6050 Northland Dr NE
Ste 100
Rockford, MI 49341
Phone (616) 588-6582

3300 Walker Vw NW
Walker, MI 49544
Phone (616) 588-6570

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFGIBA/Endpoint/FFGIBA
  • Direct secure messaging: kara.krupp.p1@direct.grophthalmology.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1003591488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11906 EDEN TRL",
            "city": "EAGLE",
            "state": "MI",
            "postal_code": "488229621",
            "telephone_number": "517-526-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 W MAIN ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461652",
            "telephone_number": "877-338-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "KARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.