Individual provider Active NPI

Lindsay Katharine Klumpp, O.D.

  • Optometrist
  • Jackson, MI
National Provider Identifier
1174923189
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004857 Issued in MI
Practice address
850 W North St
Ste. 100
Jackson, MI 49202-3196
Phone
(877) 852-8463
NPI assigned
Aug 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004857 MI Primary

Addresses

Primary practice location

850 W North St
Ste. 100
Jackson, MI 49202-3196

Mailing address

850 W North St
Ste. 100
Jackson, MI 49202-3196
Phone (877) 852-8463

Other names 1

  • Lindsay Katharine Cook Former name

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
I20150409001014 MI Practitioner - Optometry 5496073124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania 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

2518 Capital Ave SW
Specialty Eye Institute
Battle Creek, MI 49015-4188
Phone (877) 852-8463

363 Fremont St
Suite 301
Battle Creek, MI 49017-3391
Phone (616) 964-3018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Eye Care Center, PC Optometrist CurrentSince Mar 1, 2015 Accepting new patients

Locations

363 Fremont St
Ste 301
Battle Creek, MI 49017
Phone (616) 964-3018

2518 Capital Ave SW
Battle Creek, MI 49015

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

850 W North St
Ste 100
Jackson, MI 49202
Phone (517) 290-5298

850 W North St
#104
Jackson, MI 49202
Phone (248) 647-9790

4016 W Main St
Kalamazoo, MI 49006
Phone (269) 344-3366

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1174923189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST",
            "address_2": "STE. 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "877-852-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W NORTH ST",
            "address_2": "STE. 100",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023196",
            "telephone_number": "877-852-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUMPP",
        "first_name": "LINDSAY",
        "middle_name": "KATHARINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-27",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "COOK",
            "middle_name": "KATHARINE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.