Jonathan Elin-Calcador, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005573 Issued in MI

Practice address

1063 S State Rd Ste 3
Davison, MI 48423-1900

Phone

(810) 658-2020

Fax

(810) 658-5307

NPI assigned

Sep 2, 2021

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pco PCGroup PAC ID 4385746320, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pco PC

  dba Burton Vision Center

  • Optometrist
  • Davison, MI
  • NPI 1114082047
  Medicare reassignment Care Compare group NPD
• James H English OD PC

  • Optometrist
  • Swartz Creek, MI
  • NPI 1447413489
  NPD (past)
• National Vision, Inc.

  dba Eyeglass World

  • Optician
  • Flint, MI
  • NPI 1174900229
  NPD (past)

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1780352864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4363 PINE CREEK DR",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191801",
            "telephone_number": "857-424-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 3",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-658-2020",
            "fax_number": "810-658-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIN-CALCADOR",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Ralph Edgette, FNP-C
• Brendan Tyler Edmonds, OD
• Effort and Ease Integrative Mental Health LLC
• Kevin Russell Eikey, PT
• Arwa El Rifai, M.D.
• Christopher Elliot, FNP-BC
• Marielle Elliot, FNP-BC
• Manoharan W Eustace, MD
• Tara Rae Evans, NP-C
• David Lee Ewing, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.

Verify at the official NPI Registry.