Individual provider Active NPI

James Coon, OD

  • Optometrist
  • Kentwood, MI
National Provider Identifier
1194297747
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005173 Issued in MI
Practice address
2974 28TH St SE Ste a
Kentwood, MI 49512-1664
Phone
(616) 949-2120
NPI assigned
Dec 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005173 MI Primary

Addresses

Primary practice location

2974 28TH St SE Ste a
Kentwood, MI 49512-1664

Mailing address

2974 28TH St SE
Kentwood, MI 49512-1664
Phone (313) 529-8168

Other practice location 1

2575 Airport Rd
Jackson, MI 49202-1867
Phone (517) 783-2883

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
I20190109001097 MI Practitioner - Optometry 3678819885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Point Optical GroupGroup PAC ID 9032491246, 28 clinicians

Practice addresses (Care Compare)

2974 28TH St SE
Suite a
Kentwood, MI 49512-1664
Phone (616) 949-2120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Eye Care PLLC Optometrist Current Accepting new patients
West Point Optical Group Optometrist CurrentSince Sep 3, 2024 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jan 3, 2019 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Jan 3, 2019 Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients

Locations

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

2500 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 245-6300

3343 Century Center St SW
Grandville, MI 49418
Phone (616) 249-7362

1736 W Michigan Ave
Jackson, MI 49202
Phone (517) 789-7131

2575 Airport Rd
Jackson, MI 49202
Phone (517) 783-2883

575 N Drake Rd
Kalamazoo, MI 49009
Phone (269) 382-5942

2974 28th St SE
Ste A
Kentwood, MI 49512
Phone (616) 949-2120

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

6650 S Westnedge Ave
Ste 232
Portage, MI 49024
Phone (269) 237-2881

2875 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 852-5230

Organizations & group practices 5

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1194297747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 28TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495121664",
            "telephone_number": "313-529-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 28TH ST SE STE A",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495121664",
            "telephone_number": "616-949-2120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492021867",
            "country_code": "US",
            "telephone_number": "517-783-2883",
            "fax_number": "517-905-6085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COON",
        "first_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.