Krystal Kempf Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004448 Issued in MI

Legal business name

KRYSTAL KEMPF EYE CARE PLLC

Practice address

1311 E Bridge St
Portland, MI 48875-1601

Phone

(517) 647-7515

Fax

(517) 647-5445

NPI assigned

May 8, 2017

Last updated

May 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krystal K Andrews, O.D.NPI 1851583934

Title

Optometrist/Owner

Phone

(517) 927-2712

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krystal Kay Andrews, O.D.

  • Optometrist
  • Lansing, MI
  • NPI 1851583934
  Medicare reassignment NPD Authorized official
• Suzanne R Maystead, OD

  • Optometrist
  • Portland, MI
  • NPI 1932187911
  Medicare reassignment NPD

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

{
    "created_epoch": "1494201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1649706847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 AMHERST DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489062401",
            "telephone_number": "517-927-2712",
            "fax_number": "517-647-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 E BRIDGE ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751601",
            "telephone_number": "517-647-7515",
            "fax_number": "517-647-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL KEMPF EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-08",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "517-927-2712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Jonak
• Katelyn Anne Jury, CPHT
• KC Assisted Living Corporation
• Christina Knoop, NP
• Ryan Koolen, D.C.
• Terri Leann Lay
• Little Steps Therapy LLC
• Nancyann Pierce Lufkin, MSW
• Michael John Mauren, D.D.S.
• Suzanne R Maystead, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.