Individual provider Active NPI

Lauren E Collins, O.D.

  • Optometrist
  • Portage, MI
National Provider Identifier
1134404288
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004853 Issued in MI
Practice address
255 Romence Rd. Hiemstra Optical Co.
Portage, MI 49024
Phone
(269) 324-0800
Fax
(269) 324-0894
NPI assigned
Oct 19, 2011
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 4901004853 MI Primary

Addresses

Primary practice location

255 Romence Rd. Hiemstra Optical Co.
Portage, MI 49024

Mailing address

255 Romence Rd. Hiemstra Optical Co.
Portage, MI 49024
Phone (269) 324-0800

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161013001292 MI Practitioner - Optometry 9537457171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
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)

1116 W Ganson St
Jackson, MI 49202-4240
Phone (517) 782-9436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Optometrist Current Accepting new patients
Hiemstra Optical Company CurrentSince Aug 30, 2016 Accepting new patients

Locations

234 E Michigan Ave
Kalamazoo, MI 49007
Phone (269) 382-0800

133 E Michigan Ave
Paw Paw, MI 49079
Phone (269) 657-7288

102 N Main St
Ste B
Plainwell, MI 49080
Phone (269) 685-9511

255 Romence Rd
Portage, MI 49024
Phone (269) 324-0800

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1134404288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROMENCE RD. HIEMSTRA OPTICAL CO.",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-324-0800",
            "fax_number": "269-324-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 ROMENCE RD. HIEMSTRA OPTICAL CO.",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49024",
            "telephone_number": "269-324-0800",
            "fax_number": "269-324-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LAUREN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.