Makayla Jo Porter, OD
Individual provider Active NPI Optometrist · Grandville, MI
NPI 1053988394 · NPPES record last updated Jun 7, 2021
Key facts
- NPI
- 1053988394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901005517 (MI)
- Practice address
- 4763 Wilson Ave SW Ste G&H
Grandville, MI 49418-9015 - Phone
- (616) 261-4811
- NPI assigned
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 46
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Visionworks Inc
Practice addresses (Care Compare)
10112 York Rd
Cockeysville, MD 21030-3306
Phone (410) 628-5350
23360 Eureka Rd
Visionworks
Taylor, MI 48180-5215
Phone (734) 287-0024
3500 S 27TH St
Milwaukee, WI 53221-1302
Phone (414) 817-9100
6570 N Illinois St
Suite a
Fairview Heights, IL 62208-2195
Phone (618) 628-3502
6731B Ritchie Hwy
Glen Burnie, MD 21061-2318
Phone (443) 763-3906
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (6 enrollments) in MI, MD, DC, NY, IL, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241212004139 | MI | Practitioner - Optometry | 3577099589 | Reassigns benefits to 2 organizations |
| I20241214000186 | MD | Practitioner - Optometry | 3577099589 | Reassigns benefits to 2 organizations |
| I20241216000020 | DC | Practitioner - Optometry | 3577099589 | Reassigns benefits to 2 organizations |
| I20241216000667 | NY | Practitioner - Optometry | 3577099589 | Reassigns benefits to 4 organizations |
| I20250513002774 | IL | Practitioner - Optometry | 3577099589 | Reassigns benefits to 6 organizations |
| I20251030001498 | WI | Practitioner - Optometry | 3577099589 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901005517 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoptikal LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Aea Eye Care LLC | Current |
Accepting new patients | |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current |
Accepting new patients |
| Greenville Eyeglass & Contacts Inc | Optometrist | Current |
Accepting new patients |
| Melrose Park Eye Care LLC | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
| 200 West Optics, LLC | Optometrist | Current |
Accepting new patients |
| 200 West Optics, LLC | Optometrist | Current |
Accepting new patients |
| Empire Vision Center, Inc | Current |
Accepting new patients | |
| Shoptikal LLC | Optometrist | Current | Accepting new patients |
| Shoptikal LLC | Optometrist | Current |
Accepting new patients |
| CVG Optometry, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
| Empire Vision Center Inc | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current |
Accepting new patients |
| Vitreous Retina Macula Consultants of New York | Current |
Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current |
Accepting new patients |
| Hull & Williquette, LTD | Current |
Accepting new patients | |
| Visionworks, Inc | Current |
Accepting new patients | |
| Christina J. Levi O D P C | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr Optometry of Michigan, LLC | Optometrist | Current | Accepting new patients |
| Silver Spring Optometry, LLC | Optometrist | Past | Accepting new patients |
| Eyeglass World | Past |
Accepting new patients | |
| Visionworks Inc. | Past | Accepting new patients | |
| Christina J. Levi O D P C | Optometrist | Past | Accepting new patients |
Locations (25 of 54)
4814 N Clark St
Ste B
Chicago, IL 60640
Phone (773) 897-0800
2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888
6570 N Illinois St
Ste A
Fairview Heights, IL 62208
Phone (618) 628-3502
210 W Main St
Greenville, IL 62246
Phone (618) 664-9101
904 W North Ave
Melrose Park, IL 60160
Phone (708) 343-6767
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021
6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206
6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210
15431 Emerald Way
Bowie, MD 20716
Phone (301) 805-6132
23415 Three Notch Rd
Ste 1101
California, MD 20619
Phone (301) 862-1896
10112 York Rd
Cockeysville, MD 21030
Phone (410) 628-5350
19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200
6731B Ritchie Hwy
Glen Burnie, MD 21061
Phone (443) 763-3906
46300 Lexington Village Way
Ste 105
Lexington Park, MD 20653
Phone (301) 862-2436
10101 Colesville Rd
Silver Spring, MD 20901
Phone (301) 466-8439
2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919
65 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 342-0003
1761 M 139
Benton Harbor, MI 49022
Phone (269) 934-0424
755 E Chicago St
Coldwater, MI 49036
Phone (517) 278-9004
800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890
1617 N West Ave
Jackson, MI 49202
Phone (517) 780-3828
855 Olds St
Jonesville, MI 49250
Phone (515) 849-2200
5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901005517 | MI | Yes |
Addresses
Primary practice location
4763 Wilson Ave SW Ste G&H
Grandville, MI 49418-9015
Mailing address
2056 Morgan Run
Hudsonville, MI 49426
Phone (812) 240-9888
Other providers in Grandville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.