Mikaela Jo Betka, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

L844588 Issued in MI

Practice address

2904 Division St
Saint Joseph, MI 49085-2437

Phone

(269) 983-2020

NPI assigned

Jul 20, 2015

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 NE

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• John H McDougall OD PC

  • Optometrist
  • Beatrice, NE
  • NPI 1154894608
  Medicare reassignment NPD
• John H McDougall OD PC

  • Optometrist
  • Lincoln, NE
  • NPI 1245791045
  NPD
• Family Vision Associates P.C.

  • Optometrist
  • Saint Joseph, MI
  • NPI 1033302948
  NPD (past)
• Holicki Optical Inc

  • Durable Medical Equipment & Medical Supplies
  • Coldwater, MI
  • NPI 1386637957

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1093199010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 CLEVELAND AVE",
            "address_2": "#307",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490854300",
            "telephone_number": "402-806-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 DIVISION ST",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852437",
            "telephone_number": "269-983-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETKA",
        "first_name": "MIKAELA",
        "middle_name": "JO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "L844588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berrien County
• Berrien Mental Health Authority
• Berrien Regional Associates in Neurology,PLLC
• Michael E. Berry, M.D.
• Diego P Betita, MD
• Jonathan Beyer, D.O.
• Hilary Beyerlein-Ujla, PA-C
• Jenna Marie Bills, PA-C
• Jamie Kristin Birris, PSY.D.
• Thomas Ryan Birris, MD

• Optometrist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.