Individual provider Active NPI

Fredric D Kapteyn, OD

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1700069929
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004464 Issued in MI
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080204000277 MI Practitioner - Optometry 5799867479 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lionheart Optometry PC Optometrist CurrentSince Dec 4, 2007 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

Verify at the official NPI Registry.