Individual provider Active NPI

Kelly Hochstetler

  • Optometrist
  • Cadillac, MI
National Provider Identifier
1982082731
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004954 Issued in MI
Practice address
8809 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone
(616) 648-5141
NPI assigned
May 13, 2015
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010907 IL
Optometrist 152W00000X 4901004954 MI Primary

Addresses

Primary practice location

8809 Pine Ridge Dr
Cadillac, MI 49601-7064

Mailing address

8809 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone (616) 648-5141

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
I20170113001064 MI Practitioner - Optometry 9436462728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arsulowicz Eye Care LLCGroup PAC ID 9931428075, 3 clinicians

Practice addresses (Care Compare)

3935 Lake Michigan Dr NW
Suite 3
Grand Rapids, MI 49534-7844
Phone (616) 453-8223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arsulowicz Eye Care LLC Optometrist CurrentSince May 4, 2021 Accepting new patients

Locations

3935 Lake Michigan Dr NW
Grand Rapids, MI 49534
Phone (616) 453-7755

3935 Lake Michigan Dr NW
Ste 3
Grand Rapids, MI 49534
Phone (616) 453-8223

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.

NPI Registry JSON

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1982082731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8809 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496017064",
            "telephone_number": "616-648-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8809 PINE RIDGE DR",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496017064",
            "telephone_number": "616-648-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCHSTETLER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010907",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.