Active NPI
Makenzie Fistler
- Optometrist
- Big Rapids, MI
National Provider Identifier
1841122256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901005982
- Practice address
- 1124 S State St
Big Rapids, MI 49307-2256 - Phone
- (231) 591-3700
- NPI assigned
- Jun 1, 2026
- Last updated
- Sep 12, 2026
- Sex
- Female
- 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 | 4901005982 | MI | Primary |
Addresses
Primary practice location
1124 S State St
Big Rapids, MI 49307-2256
Mailing address
40895 Ann Arbor Rd E
Plymouth, MI 48170-4448
Phone (734) 233-6300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
Organizations & group practices 2
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.
-
- Optometrist
- Troy, MI
- NPI 1801122460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789171200000",
"number": "1841122256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40895 ANN ARBOR RD E",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704448",
"telephone_number": "734-233-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 S STATE ST",
"city": "BIG RAPIDS",
"state": "MI",
"postal_code": "493072256",
"telephone_number": "231-591-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISTLER",
"first_name": "MAKENZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-01",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901005982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Rapids, MI
- Ferris State University (Birkam Health Center)
- Ferris State University (Ferris State Athletics)
- Ferris State University Dental Hygiene Clinic
- Ferris State University Dental Hygiene Clinic (Dental Clinic)
- Kyle Joseph Ficht, RPH
- Foot & Ankle Specialists of West Michigan P L L C
- Brandee Lee Fountain, RN
- Susan H Fowler, PSYD
- Craig M Fox, RPH
- Ian Howard Fox, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.