Active NPI
Lionheart Optometry PC
- Optometrist
- Saginaw, MI
National Provider Identifier
1679713614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004464
- Legal business name
- LIONHEART OPTOMETRY PC
- Practice address
- 5650 Bay Rd
Saginaw, MI 48604-2510 - Phone
- (989) 790-8937
- NPI assigned
- Mar 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fredric D Kapteyn, O.D.
- Title
- Optometrist
- Phone
- (616) 308-0180
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004464 | MI | Primary |
Addresses
Primary practice location
5650 Bay Rd
Saginaw, MI 48604-2510
Mailing address
PO Box 3272
Saginaw, MI 48605-3272
Phone (989) 797-1400
Other names 1
- Fredric D. Kapteyn, O.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090324000550 | MI | Part B Supplier - Clinic/Group Practice | 0941367601 |
Receives reassigned benefits from 1 practitioner Practice locations: Saginaw, MI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691020800000",
"number": "1679713614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3272",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486053272",
"telephone_number": "989-797-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5650 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042510",
"telephone_number": "989-790-8937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIONHEART OPTOMETRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-04",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "KAPTEYN",
"authorized_official_first_name": "FREDRIC",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "616-308-0180",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901004464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fredric D. Kapteyn, O.D.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fredric D. Kapteyn, O.D.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.