Makayla Jo Porter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005517 Issued in MI

Practice address

4763 Wilson Ave SW Ste G&H
Grandville, MI 49418-9015

Phone

(616) 261-4811

NPI assigned

Jun 7, 2021

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, MD, DC, NY, IL, WI6 enrollments

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 6

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionworks IncGroup PAC ID 4385639616, shared by 16 NPIs, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 54)

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

• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Optometrist
  • Rochester Hills, MI
  • NPI 1366822991
  Medicare reassignment NPD
• Aea Eye Care LLC

  dba AEA Eye Care

  • Clinic/Center
  • Chicago, IL
  • NPI 1386121283
  Medicare reassignment NPD
• Christina J. Levi O D P C

  dba Edwardsville Vision Center

  • Optometrist
  • Edwardsville, IL
  • NPI 1477703411
  Medicare reassignment NPD
• CVG Optometry, LLC

  • Optometrist
  • Rochester, NY
  • NPI 1194959486
  Medicare reassignment NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Greenville Eyeglass & Contacts Inc

  • Optometrist
  • Greenville, IL
  • NPI 1104926674
  Medicare reassignment NPD
• Hull & Williquette, LTD

  dba Eyewear Express

  • Optician
  • Rhinelander, WI
  • NPI 1982772547
  Medicare reassignment NPD
• Melrose Park Eye Care LLC

  dba Pearle Vision Melrose Park

  • Optometrist
  • Melrose Park, IL
  • NPI 1073334595
  Medicare reassignment NPD
• Myeyedr Optometry of Maryland, LLC

  dba MyEyeDr

  • Optometrist
  • Waldorf, MD
  • NPI 1609204437
  Medicare reassignment NPD
• Shoptikal LLC

  dba Shopko Optical 4002

  • Eyewear Supplier
  • Green Bay, WI
  • NPI 1659937159

  Optometrist

  Medicare reassignment NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Catonsville, MD
  • NPI 1104847912
  Medicare reassignment NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1053988394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 MORGAN RUN",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "49426",
            "telephone_number": "812-240-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 WILSON AVE SW STE G&H",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494189015",
            "telephone_number": "616-261-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "MAKAYLA",
        "middle_name": "JO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Joy Plaster
• Quincee Rose Pohl
• Kayla Poll
• Ian Popma
• Darcy Porter, LLPC
• Felipe Porto, DDS, MS, MSD
• Shelby Lynn Potter
• James M Pouillon, DPM
• Hailey Powers, LMSW
• Alec Presley

• Optometrist in Grandville, MI
• Providers in Grandville, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.