Individual provider Active NPI

Abigail Faith Veldkamp, O.D.

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1851647218
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004726 Issued in MI
Practice address
4284 Plainfield Ave NE
Grand Rapids, MI 49525-1612
Phone
(616) 364-6228
NPI assigned
Aug 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004726 MI Primary

Addresses

Primary practice location

4284 Plainfield Ave NE
Grand Rapids, MI 49525-1612

Mailing address

1705 Ranch Dr NW
Grand Rapids, MI 49504-2518
Phone (616) 826-1533

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
I20120920000418 MI Practitioner - Optometry 3072761873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Sky Vision Eye Care PCGroup PAC ID 8820065618, 51 clinicians

Practice addresses (Care Compare)

4475 Wilson Ave SW
Grandville, MI 49418-2368
Phone (616) 949-2600

750 E Beltline Ave NE
Grand Rapids, MI 49525-6049
Phone (616) 588-6506

Merit-based Incentive Payment System (MIPS)

Final score
75.03 of 100Reported as group
Quality
85.46
Promoting interoperability
100
Improvement activities
40
Cost
31.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica Retail North America Inc Past Accepting new patients
Gro Optical, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: abigail.veldkamp.p1@direct.grophthalmology.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1851647218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 RANCH DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042518",
            "telephone_number": "616-826-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 PLAINFIELD AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495251612",
            "telephone_number": "616-364-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELDKAMP",
        "first_name": "ABIGAIL",
        "middle_name": "FAITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.