Active NPI
Fredric D Kapteyn, OD
- Optometrist
- Saginaw, MI
National Provider Identifier
1700069929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004464
- Practice address
- 5656 Bay Rd
Saginaw, MI 48604-2510 - Phone
- (989) 790-2897
- Fax
- (989) 790-3144
- NPI assigned
- Dec 11, 2007
- Last updated
- Aug 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004464 | MI | Primary |
Addresses
Primary practice location
5656 Bay Rd
Saginaw, MI 48604-2510
Mailing address
PO Box 3272
Saginaw, MI 48605-3272
Phone (989) 797-1400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ferris State College - College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5656 Bay Rd
Saginaw, MI 48604-2510
Phone (989) 790-2897
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lionheart Optometry PC | Optometrist | Current | Accepting new patients |
Locations
5650 Bay Rd
Saginaw, MI 48604
Phone (989) 790-7431
5656 Bay Rd
Saginaw, MI 48604
Phone (989) 790-2897
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1700069929",
"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": "5656 BAY RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486042510",
"telephone_number": "989-790-2897",
"fax_number": "989-790-3144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAPTEYN",
"first_name": "FREDRIC",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-11",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901004464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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; 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.