Kunjal Patel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005900 Issued in MI

Practice address

255 Romence Rd Hiemstra Optical
Portage, MI 49024

Phone

(269) 324-0800

Fax

(269) 324-0894

NPI assigned

Jun 25, 2025

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

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

Specialty

Optometry

Education

Michigan College of Medicine and Surgery, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Michigan Eye Care Center PCGroup PAC ID 4486566098, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpatel@sei.intellechartdirect.net

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.

• Mid Michigan Eye Care Center, PC

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  Medicare reassignment Care Compare group NPD
• Hiemstra Optical Company

  • Optician
  • Paw Paw, MI
  • NPI 1841371556
  Medicare reassignment NPD

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1114815552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 SHIRLEY CT APT 437",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244893",
            "telephone_number": "248-767-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROMENCE RD HIEMSTRA OPTICAL",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-324-0800",
            "fax_number": "269-324-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KUNJAL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew A Parker, O.D.
• Ashley Nicole Parkerson
• Allison Parrish
• Robert Earl Parsons Jr., MA, CRC, CVRT, LLPC
• Kelly J Pasch, FNP
• Sanjaykumar Ghanshyambhai Patel, PHARMACIST
• Sharvil Patel, PHARMD
• Kelsey Paternoster
• Brandon Pathic
• Katherine McLellan Patil, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.