Benjamin James Sikkenga, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005151 Issued in MI

Practice address

951 Seminole Rd
Norton Shores, MI 49441-4341

Phone

(231) 780-4700

Fax

(231) 780-4700

NPI assigned

Jul 27, 2018

Sex

Male

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

Ferris State College - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeshore Professional Eyecare PCGroup PAC ID 7618014937, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Lakeshore Professional Eyecare PC

  dba Lakeshore Eyecare

  • Optometrist
  • Norton Shores, MI
  • NPI 1629251400
  Medicare reassignment Care Compare group
• Gary C. Spencer O.D., P.C.

  dba Optometry West

  • Optometrist
  • Ann Arbor, MI
  • NPI 1124194295
  NPD (past)
• Hesperia Eyecare LLC

  dba Hesperia Eyecare

  • Optometrist
  • Hesperia, MI
  • NPI 1346546637
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1508343047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414341",
            "telephone_number": "231-780-4700",
            "fax_number": "231-780-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414341",
            "telephone_number": "231-780-4700",
            "fax_number": "231-780-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3106 Glade St",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494442706",
            "country_code": "US",
            "telephone_number": "231-733-9669",
            "fax_number": "231-733-9669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 N Division St",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "MI",
            "postal_code": "494215100",
            "country_code": "US",
            "telephone_number": "231-854-3000",
            "fax_number": "231-854-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKKENGA",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoreline Foot & Ankle Associates P.C.
• Shoreline Ophthalmology, PLLC
• Shoreline Optical, LLC (Shoreline Optical)
• Amber Lynn Shull, PA
• Erin Siebert
• Payton Elizabeth Elizabeth Silk
• Daniel P Sischo
• Dee Six, NP
• Sleep and Airway Center of Michigan PLC
• Lisa Slootmaker

• Optometrist in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.