Individual provider Active NPI

Joanna Cammenga, O.D.

  • Optometrist
  • Hudsonville, MI
National Provider Identifier
1073066569
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005595 Issued in MI
Practice address
3164 Port Sheldon St
Hudsonville, MI 49426-9317
Phone
(616) 538-0150
Fax
(616) 669-8457
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005595 MI Primary

Addresses

Primary practice location

3164 Port Sheldon St
Hudsonville, MI 49426-9317

Mailing address

3164 Port Sheldon St
Hudsonville, MI 49426-9317
Phone (616) 538-0150

Other names 1

  • Joanna Hargis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160815000186 AZ Practitioner - Optometry 8426342478 Reassigns benefits to 1 organization
I20250307002976 MI Practitioner - Optometry 8426342478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zeeland Vision Services PCGroup PAC ID 4284639469, 6 clinicians
Vollink Eyecare PLLCGroup PAC ID 7012074420, 4 clinicians

Practice addresses (Care Compare)

300 S State St
Suite 15
Zeeland, MI 49464-1678
Phone (616) 772-9149

3164 Port Sheldon St
Hudsonville, MI 49426-9317
Phone (616) 669-1890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005595MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Zeeland Vision Services PC Optometrist CurrentSince Feb 1, 2026 Accepting new patients
Vollink Eyecare PLLC Optometrist CurrentSince Dec 30, 2024 Accepting new patients
Michael Zucker OD PC Optometrist CurrentSince Apr 16, 2020 Accepting new patients
Thomas D Snoeyink OD PastSince Dec 30, 2024 Accepting new patients

Locations

6843 N Oracle Rd
Tucson, AZ 85704
Phone (520) 219-5080

4 Washington Ave
Grand Haven, MI 49417
Phone (616) 240-4224

3164 Port Sheldon St
Hudsonville, MI 49426
Phone (616) 538-0150

300 S State St
Ste 15
Zeeland, MI 49464
Phone (616) 772-9149

Organizations & group practices 4

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": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1073066569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3164 PORT SHELDON ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269317",
            "telephone_number": "616-538-0150",
            "fax_number": "616-669-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3164 PORT SHELDON ST",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269317",
            "telephone_number": "616-538-0150",
            "fax_number": "616-669-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMMENGA",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "HARGIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.