Active NPI
Kirsten Donnellon, O.D.
- Optometrist
- Linden, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004554
- Practice address
- 123 E Broad St
Linden, MI 48451-9126 - Phone
- (810) 735-9988
- Fax
- (810) 458-6575
- NPI assigned
- Jun 28, 2009
- Last updated
- Jul 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1558 | SC | |
| Optometrist | 152W00000X | 4901004554 | MI | Primary |
Addresses
Primary practice location
123 E Broad St
Linden, MI 48451-9126
Mailing address
89 S Washington St
Oxford, MI 48371-4979
Phone (248) 628-3441
Other practice location 1
2222 W Grand River Ave Ste A
Okemos, MI 48864-1604
Phone (248) 733-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376771410 | Medicaid | MI |
Other names 1
- Kirsten Harwood
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2222 W Grand River Ave
Suite a
Okemos, MI 48864-1604
Phone (248) 733-4433
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1558 | SC | MD | Clinical Psychologist |
| 4901004554 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Oxford, PLLC | Optometrist | Current | Accepting new patients |
| Voyage Eye Care PLLC | Optometrist | Current | Accepting new patients |
| DRS Walton & Becker Eyecare PC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of SC LLC | Optometrist | Past | Accepting new patients |
| Ocean Eye, PC | Optometrist | Past | Accepting new patients |
Locations
2222 W Grand River Ave
Ste A
Okemos, MI 48864
Phone (734) 602-4635
Organizations & group practices 6
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.
-
- Optometrist
- Okemos, MI
- NPI 1265257166
-
- Low Vision Rehabilitation Optometrist
- Linden, MI
- NPI 1114373727
-
- Optometrist
- Chapin, SC
- NPI 1679046569
-
- Optometrist
- Summerville, SC
- NPI 1700073749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1376771410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 S WASHINGTON ST",
"city": "OXFORD",
"state": "MI",
"postal_code": "483714979",
"telephone_number": "248-628-3441",
"fax_number": "248-628-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E BROAD ST",
"city": "LINDEN",
"state": "MI",
"postal_code": "484519126",
"telephone_number": "810-735-9988",
"fax_number": "810-458-6575"
}
],
"practiceLocations": [
{
"address_1": "2222 W Grand River Ave Ste A",
"address_purpose": "LOCATION",
"city": "Okemos",
"state": "MI",
"postal_code": "488641604",
"country_code": "US",
"telephone_number": "248-733-4433",
"fax_number": "810-775-5338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLON",
"first_name": "KIRSTEN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1558",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376771410",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIRSTEN",
"last_name": "HARWOOD",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Linden, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.