Individual provider Active NPI

Rebecca April Johnson, O.D.

  • Optometrist
  • Kalamazoo, MI
National Provider Identifier
1568740157
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004647 Issued in MI
Practice address
5526 Stoney Brook Rd
Kalamazoo, MI 49009-7703
Phone
(989) 640-4236
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004647 MI Primary

Addresses

Primary practice location

5526 Stoney Brook Rd
Kalamazoo, MI 49009-7703

Mailing address

5526 Stoney Brook Rd
Kalamazoo, MI 49009-7703
Phone (989) 640-4236

Other practice location 1

124 E Prairie St
Vicksburg, MI 49097-1257
Phone (269) 649-0103

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123000642 MI Practitioner - Optometry 2961989694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Alexandra Copeland OD PLLCGroup PAC ID 7618242314, 2 clinicians

Practice addresses (Care Compare)

7161 W Q Ave
Kalamazoo, MI 49009-5951
Phone (269) 870-7334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004647MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Copeland OD PLLC Optometrist CurrentSince Jan 23, 2026 Accepting new patients

Locations

7161 W Q Ave
Kalamazoo, MI 49009
Phone (269) 870-7334

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1568740157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 STONEY BROOK RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097703",
            "telephone_number": "989-640-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5526 STONEY BROOK RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097703",
            "telephone_number": "989-640-4236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 E Prairie St",
            "address_purpose": "LOCATION",
            "city": "Vicksburg",
            "state": "MI",
            "postal_code": "490971257",
            "country_code": "US",
            "telephone_number": "269-649-0103",
            "fax_number": "269-649-4762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REBECCA",
        "middle_name": "APRIL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.