Autumn Rae Nunn Killop, OD, MPH

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005523 Issued in MI

Practice address

2820 E Beltline LN NE
Grand Rapids, MI 49525-9432

Phone

(616) 363-5413

Fax

(616) 363-4211

NPI assigned

Jun 2, 2021

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grand Rapids Eye Care 2820 PLLCGroup PAC ID 4688794647, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.03 of 100Reported as group

Quality

85.46

Promoting interoperability

100

Improvement activities

40

Cost

31.32

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: autumn.killop.p1@direct.grophthalmology.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Grand Rapids Eye Care 2820 PLLC

  • Optometrist
  • Grand Rapids, MI
  • NPI 1053534040
  Medicare reassignment Care Compare group NPD
• Blue Sky Vision Eye Care, P.C

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1801977202

  Optometrist

  Medicare reassignment NPD
• Blue Sky Vision Eye Care, PC

  • Ophthalmology Physician
  • Dearborn, MI
  • NPI 1316675598
  NPD
• Walker Surgical Center LLC

  • Ambulatory Surgical Clinic/Center
  • Walker, MI
  • NPI 1679612253
  NPD (past)

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1164098893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 E BELTLINE LN NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259432",
            "telephone_number": "766-363-5413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 E BELTLINE LN NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259432",
            "telephone_number": "616-363-5413",
            "fax_number": "616-363-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLOP",
        "first_name": "AUTUMN",
        "middle_name": "RAE NUNN",
        "name_prefix": "Dr.",
        "credential": "OD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Kathleen Killeen, MS, CCC-SLP
• Joylynn Killgore, LMSW
• Kerby Keylon Killingham
• Juna Kay Killion, LMSW
• Matthew Killmer, DO
• Kilmartin Counseling Services
• Brianna Renee Kilner, MD
• Kilpatrick Chiropractic Life Center PC
• Callie G Kilpatrick, MD
• Cierra N Kilpatrick

• Optometrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.