Individual provider Active NPI

Stephanie Lynn Gelfius, O.D.

  • Optometrist
  • Kalamazoo, MI
National Provider Identifier
1730377573
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003752 Issued in MI
Practice address
2121 Hudson Ave
Suite 105
Kalamazoo, MI 49008-2379
Phone
(269) 345-2916
Fax
(269) 345-5335
NPI assigned
Oct 5, 2007
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003752 MI Primary

Addresses

Primary practice location

2121 Hudson Ave
Suite 105
Kalamazoo, MI 49008-2379

Mailing address

2121 Hudson Ave
Suite 105
Kalamazoo, MI 49008-2379
Phone (269) 345-2916

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
I20040824000940 MI Practitioner - Optometry 5698749794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003752MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Point Optical Group Optometrist Past Accepting new patients
Eyeglass Acquisitions, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1730377573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HUDSON AVE",
            "address_2": "SUITE 105",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082379",
            "telephone_number": "269-345-2916",
            "fax_number": "269-345-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HUDSON AVE",
            "address_2": "SUITE 105",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082379",
            "telephone_number": "269-345-2916",
            "fax_number": "269-345-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFIUS",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.