Kimberly Merryfield, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004068 Issued in MI

Practice address

2025 25 Mile Rd
Shelby Township, MI 48316-0941

Phone

(248) 651-3937

Fax

(248) 651-5006

NPI assigned

Jan 13, 2007

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

Other identifiers 2

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

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmerryfield10836@direct.hfhs.org

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.

• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment Care Compare group NPD
• Modern Eyecare, P.C.

  • Corneal and Contact Management Optometrist
  • Shelby Township, MI
  • NPI 1679807176
  NPD (past) Authorized official
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1578614079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 25 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483160941",
            "telephone_number": "248-651-3937",
            "fax_number": "248-659-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 25 MILE RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483160941",
            "telephone_number": "248-651-3937",
            "fax_number": "248-651-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRYFIELD",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST LICENSE",
            "identifier": "4901004068",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI CONTROLLED SUBSTANCE",
            "identifier": "5330000693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mental Wealth Counseling LLC
• Mercy Hands Home Help, LLC
• Katherine Merecki
• Jodi Ann Merrifield, RPH.
• Heather Merritt
• Shannon Mae Mertes, PTA
• Elizabeth Ann Messenger, MD
• Alexandra Mew
• Michael E. Graham, DPM, PC (Center for Foot & Ankle Disorders)
• Kristina Marie Michalowski, MPT

• Optometrist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.