Kelly Marie James, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005374 Issued in MI

Practice address

999 Washington Ave
Holland, MI 49423-7722

Phone

(616) 396-2316

Fax

(616) 396-0085

NPI assigned

Apr 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holland Eye Clinic PCGroup PAC ID 6608957386, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.11 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.03

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kelly.jamesod.p1@direct.hollandeye.nextgenshare.com

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.

• Holland Eye Clinic, PC

  • Ophthalmology Physician
  • Holland, MI
  • NPI 1326252180
  Medicare reassignment Care Compare group NPD
• Holland Eye Clinic, PC

  • Eyewear Supplier
  • Holland, MI
  • NPI 1255435806
  NPD
• Holland Eye Clinic, PC

  • Ophthalmologic Surgery Clinic/Center
  • Holland, MI
  • NPI 1447361506
  NPD

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1154884385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237722",
            "telephone_number": "616-396-2316",
            "fax_number": "616-396-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WASHINGTON AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494237722",
            "telephone_number": "616-396-2316",
            "fax_number": "616-396-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-14",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "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": "4901005374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Jacquemin, OD
• Rebecca A Jacquemin, OD
• James Strikwerda D.D.S., P.C.
• James T. Bishop, M.D., P.C.
• Aimee M James, SOCIAL WORKER
• Angela L Jammer, OD
• Zoie Jamrog
• Luke A Jansa
• Michael Alan Jansen, PHD, LP
• Ellen Marie Jansyn, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.