Lillian Thorp Kalaczinski, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003922 Issued in MI

Practice address

1124 S State St
Big Rapids, MI 49307-2256

Phone

(231) 591-2189

NPI assigned

Nov 2, 2006

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

Other identifiers 1

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ferris State UniversityGroup PAC ID 3971572124, 27 clinicians

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

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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
• Ferris State University

  • Optometrist
  • Big Rapids, MI
  • NPI 1871510859
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1356429757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 TREELINE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467465",
            "telephone_number": "616-970-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 S STATE ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072256",
            "telephone_number": "231-591-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORP KALACZINSKI",
        "first_name": "LILLIAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4758580",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R. Wright D.O. P.C.
• Susan J Thomas-Maliszewski, PA-C
• Angela Thomas, LMSW
• Debra Ann Thorne, P.T.
• Jeffrey Lynn Thorne, P.T.
• Mollie Anne Tisdale, PAC
• Charity Torpey
• Aleksandar Tosic, M.D.
• Brian Robert Totten, R.N.
• Donald Leo Totten, LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.