Kimberly Ann Whitely, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004711 Issued in MI

Practice address

2155 84TH St SW
Byron Center, MI 49315-8260

Phone

(616) 878-3600

Fax

(616) 878-7098

NPI assigned

Jun 18, 2012

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

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, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Dr Curtis Eyecare PCGroup PAC ID 3577455948, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Dr. Curtis Eyecare, PC

  • Optometrist
  • Byron Center, MI
  • NPI 1417157751
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1386907152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158260",
            "telephone_number": "616-878-3600",
            "fax_number": "616-878-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 84TH ST SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158260",
            "telephone_number": "616-878-3600",
            "fax_number": "616-878-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITELY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kreg M Westergren, LPC
• Whidbey Island Public Hospital District
• Patrice Marie Whitaker, APRN-BC
• Abigail White
• Anja Elizabeth Whitehouse
• Beth Ann Wiegand
• Clay Wielard, DPT
• Christy J Wierenga, LMSW
• Michael John Wiersma, LPC
• Chloe Williams

• Optometrist in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.