Individual provider Active NPI

Emily Tran-Meador, OD

  • Optometrist
  • Kentwood, MI
National Provider Identifier
1306462601
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005471 Issued in MI
Practice address
2350 44TH St SE
Kentwood, MI 49508-5016
Phone
(616) 281-1011
Fax
(616) 281-4941
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 4901005471 MI Primary

Addresses

Primary practice location

2350 44TH St SE
Kentwood, MI 49508-5016

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

5349 W Main St
Kalamazoo, MI 49009-1007
Phone (269) 349-7627

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
I20200713000691 MI Practitioner - Optometry 1153744909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

6143 Kalamazoo Ave SE
Grand Rapids, MI 49508-7019
Phone (616) 554-7775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients

Locations

6143 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 554-7775

3083 28th St SE
Grand Rapids, MI 49512
Phone (616) 949-8974

1858 Breton Rd SE
Grand Rapids, MI 49506
Phone (616) 949-9660

6749 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 957-3099

803 W State St
Hastings, MI 49058
Phone (269) 945-9724

3125 S State Rd
Ionia, MI 48846
Phone (616) 527-9279

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

5349 W Main St
Kalamazoo, MI 49009
Phone (269) 349-7627

2350 44th St SE
Kentwood, MI 49508
Phone (616) 281-1011

1281 M 89
Plainwell, MI 49080
Phone (269) 684-1071

48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121

4482 Lake Michigan Dr NW
Walker, MI 49534
Phone (616) 791-6944

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1306462601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085016",
            "telephone_number": "616-281-1011",
            "fax_number": "616-281-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5349 W Main St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490091007",
            "country_code": "US",
            "telephone_number": "269-349-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN-MEADOR",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

Verify at the official NPI Registry.