West Coast Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004253 Issued in MI

Legal business name

WEST COAST EYECARE PLLC

Practice address

456 E 16TH St Ste 1
Holland, MI 49423-3788

Phone

(616) 395-2020

Fax

(616) 396-8628

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Mulder Dejonge, O.D.NPI 1821147646

Title

Optometrist: Its Manager

Phone

(616) 395-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Mulder Dejonge, O.D.

  • Optometrist
  • Holland, MI
  • NPI 1821147646
  Medicare reassignment Authorized official
• Gerald Kolk, O.D.

  • Optometrist
  • Holland, MI
  • NPI 1275517286
  NPD (past)
• Tara Marie Oosterbaan, O.D.

  • Optometrist
  • Holland, MI
  • NPI 1225011430
  NPD (past)

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1710128111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 E 16TH ST STE 1",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233788",
            "telephone_number": "616-395-2020",
            "fax_number": "616-396-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 E 16TH ST STE 1",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233788",
            "telephone_number": "616-395-2020",
            "fax_number": "616-396-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "DEJONGE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MULDER",
        "authorized_official_title_or_position": "OPTOMETRIST: ITS MANAGER",
        "authorized_official_telephone_number": "616-395-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna T Welsch, WHNP-BC
• Stephanie Wendt
• Ronda Wenger
• Lori Gayle Wenglikowski, LMSW
• Vanessa Ann Werle, MSW
• West Michigan Heart
• West Michigan Heart
• West Michigan Heart
• West Michigan Heart
• West Michigan Neuro and Functional Rehabilitation LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.