Jamie Bala, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004942 Issued in MI

Practice address

27838 Novi Rd
Novi, MI 48377-3019

Phone

(248) 348-2900

NPI assigned

Dec 12, 2015

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

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.

• Lakeshore Eyecare Center PC

  • Optometrist
  • Holland, MI
  • NPI 1760668016
  Medicare reassignment NPD

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

{
    "created_epoch": "1449878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1477928612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 120TH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248692",
            "telephone_number": "616-395-0606",
            "fax_number": "616-395-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27838 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773019",
            "telephone_number": "248-348-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-12",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuha Bakkal, FNP-C
• Kelci Bakker, OTR/L
• Rebecca Bakker
• Kristin Marie Bakos, NP-C
• Samya Bakry
• Jayshri Balaji, MA,
• Balanced Mind Counseling Center, LLC
• Desiree Balconi, LLPC
• Kenishia Baldwin
• Leah Baldwin

• Optometrist in Novi, MI
• Providers in Novi, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.