Individual provider Active NPI

Jamie Lynn McKenzie, O.D.

  • Optometrist
  • Haslett, MI
National Provider Identifier
1306152582
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004606 Issued in MI
Practice address
5700 Marsh Rd
Haslett, MI 48840-8987
Phone
(517) 339-4100
Fax
(517) 339-4199
NPI assigned
Aug 25, 2010
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004606 MI Primary

Addresses

Primary practice location

5700 Marsh Rd
Haslett, MI 48840-8987

Mailing address

5700 Marsh Rd
Haslett, MI 48840-8987
Phone (517) 339-4100

Other practice location 1

29321 Orchard Lake Rd
Farmington Hills, MI 48334-2968
Phone (248) 553-8270 ext. 225

Other practice location 2

5403 W Saginaw Hwy
Lansing, MI 48917-1918
Phone (517) 886-0222

Other practice location 3

2333 Jolly Rd
Okemos, MI 48864-3541
Phone (517) 381-2000

Other practice location 4

2117 E Grand River Ave
Lansing, MI 48912-3231
Phone (517) 485-2213

Other practice location 5

310 W Lake Lansing Rd
East Lansing, MI 48823-1438
Phone (517) 337-8182

Other practice location 6

124 N Main
Perry, MI 48872-5103
Phone (517) 339-4100

Other practice location 7

2623 Plymouth Rd
Ann Arbor, MI 48105-2468
Phone (734) 930-2373

Other practice location 8

117 S Main St
Ann Arbor, MI 48104-1902
Phone (734) 665-5306

Other practice location 9

557 E Michigan Ave Ste A
Saline, MI 48176-1588
Phone (734) 429-4885

Other practice location 10

22350 Novi Rd
Novi, MI 48375-4708
Phone (248) 347-7800

Other names 1

  • Jamie Lynn Blausey 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
I20101005000561 MI Practitioner - Optometry 8820280118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Michigan Professional LLCGroup PAC ID 7113395864, 23 clinicians

Practice addresses (Care Compare)

2080 Hamilton Rd
Okemos, MI 48864-2105
Phone (517) 349-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004606MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Michigan Professional LLC Optometrist CurrentSince Jan 25, 2026 Accepting new patients
Canton Optique, LLC Optometrist CurrentSince Jan 26, 2020 Accepting new patients
Bennett Optometry LLC Optometrist CurrentSince Feb 4, 2024 Accepting new patients
Direct Optical of Canton, LLC CurrentSince Jan 1, 2018 Accepting new patients
Okemos Optometry,PC Optometrist CurrentSince Jan 25, 2026 Accepting new patients
Bennett Optometry LLC Optometrist CurrentSince Feb 4, 2024 Accepting new patients
Bennett Optometry LLC Optometrist Current Accepting new patients
West Point Optical Group Optometrist Past Accepting new patients
Hearing Associates of Farmington Hills, PLLC Past Accepting new patients
West Point Optical Group Optometrist PastSince Oct 12, 2020 Accepting new patients
Suburban Optometrics Assoc P C Optometrist Past Accepting new patients

Locations

117 S Main St
Ann Arbor, MI 48104
Phone (734) 665-5306

2623 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 930-2373

41840 Ford Rd
Canton, MI 48187
Phone (734) 981-1760

310 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 337-8182

11973 Sweetwater Dr
Ste B
Grand Ledge, MI 48837
Phone (517) 622-2020

5700 Marsh Rd
Haslett, MI 48840
Phone (517) 339-4100

2117 E Grand River Ave
Lansing, MI 48912
Phone (517) 485-2213

5403 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 886-0222

32415 5 Mile Rd
Livonia, MI 48154
Phone (734) 525-8170

22350 Novi Rd
Novi, MI 48375
Phone (248) 347-7800

2080 Hamilton Rd
Okemos, MI 48864
Phone (517) 349-8888

2333 Jolly Rd
Okemos, MI 48864
Phone (517) 381-2000

123 S Shiawassee St
Owosso, MI 48867
Phone (989) 725-8422

557 E Michigan Ave
Ste A
Saline, MI 48176
Phone (734) 429-2389

138 W Chicago Blvd
Tecumseh, MI 49286
Phone (517) 423-2148

Organizations & group practices 11

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1306152582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 MARSH RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408987",
            "telephone_number": "517-339-4100",
            "fax_number": "517-339-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 MARSH RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408987",
            "telephone_number": "517-339-4100",
            "fax_number": "517-339-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29321 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483342968",
            "country_code": "US",
            "telephone_number": "248-553-8270 x225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5403 W Saginaw Hwy",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489171918",
            "country_code": "US",
            "telephone_number": "517-886-0222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Jolly Rd",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643541",
            "country_code": "US",
            "telephone_number": "517-381-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2117 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489123231",
            "country_code": "US",
            "telephone_number": "517-485-2213",
            "fax_number": "517-485-2220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 W Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488231438",
            "country_code": "US",
            "telephone_number": "517-337-8182",
            "fax_number": "517-332-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 N Main",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "MI",
            "postal_code": "488725103",
            "country_code": "US",
            "telephone_number": "517-339-4100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052468",
            "country_code": "US",
            "telephone_number": "734-930-2373",
            "fax_number": "734-930-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481041902",
            "country_code": "US",
            "telephone_number": "734-665-5306",
            "fax_number": "734-665-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 E Michigan Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761588",
            "country_code": "US",
            "telephone_number": "734-429-4885",
            "fax_number": "734-429-2389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22350 Novi Rd",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483754708",
            "country_code": "US",
            "telephone_number": "248-347-7800",
            "fax_number": "248-347-7801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-25",
        "last_updated": "2024-04-02",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "BLAUSEY",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.