Landon Fetzer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005964 Issued in MI

Practice address

4164 E Blue Grass Rd
Mount Pleasant, MI 48858-7967

Phone

(989) 772-9481

NPI assigned

Jun 24, 2026

Sex

Unspecified or another gender identity

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Nichols Optical Inc

  • Optometrist
  • Traverse City, MI
  • NPI 1679558712
  NPD (past)
• Nichols Optical Inc

  • Eyewear Supplier
  • Mt Pleasant, MI
  • NPI 1699725119
  NPD (past)

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1609792852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 RYANS RUN",
            "city": "STANWOOD",
            "state": "MI",
            "postal_code": "493468833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 E BLUE GRASS RD",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488587967",
            "telephone_number": "989-772-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZER",
        "first_name": "LANDON",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Farrow
• Saif M Fatteh, M.D.
• Michelle Felder
• Nicole M Ferguson, AUD
• Brian Michael Fermoyle, BSW, LLPC
• Michael T Fillenworth, PA
• Karen Melissa Findley
• Cecilia First, FNP
• Robert Charles Fitzpatrick
• Janalyce Fletcher, MA

• Optometrist in Mount Pleasant, MI
• Providers in Mount Pleasant, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.