Jeffrey Alan Vonseggern, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003781 Issued in MI

Practice address

101 S Lafayette St
Greenville, MI 48838-1933

Phone

(616) 754-6300

Fax

(616) 754-5009

NPI assigned

Oct 27, 2005

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MI, IN2 enrollments

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 2

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Group practices

Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Lebanon, IN
  • NPI 1083100424
  Medicare reassignment NPD
• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Clarkston, MI
  • NPI 1215753553
  NPD
• Myeyedr Optometry of Michigan, LLC

  dba RX Optical

  • Optometrist
  • Kalamazoo, MI
  • NPI 1316522824
  NPD
• Myeyedr Optometry of Indiana, LLC

  dba RX Optical

  • Optometrist
  • Elkhart, IN
  • NPI 1427633999
  NPD
• Myeyedr Optometry of Indiana, LLC

  • Optometrist
  • Munster, IN
  • NPI 1922974526
  NPD
• Goodwill Optical LLC

  dba Goodwill Optical

  • Optometrist
  • Grand Haven, MI
  • NPI 1639257553
  NPD (past)
• Kent Vision Centers Inc

  dba Kent Optical

  • Optometrist
  • Ludington, MI
  • NPI 1205997749
  NPD (past)
• Kent Vision Centers Inc

  dba Kent Optical

  • Optometrist
  • Muskegon, MI
  • NPI 1245315589
  NPD (past)
• Kent Vision Centers Inc

  dba Smeelink Optical

  • Optometrist
  • Grand Rapids, MI
  • NPI 1912082298
  NPD (past)
• Myeyedr Optometry of Michigan, LLC

  dba RX Optical

  • Optometrist
  • Kalamazoo, MI
  • NPI 1346825841
  NPD (past)
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Elkhart, IN
  • NPI 1154817583
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1992795132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562024",
            "telephone_number": "616-846-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S LAFAYETTE ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381933",
            "telephone_number": "616-754-6300",
            "fax_number": "616-754-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Columbia Ave E",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490153705",
            "country_code": "US",
            "telephone_number": "269-965-5106",
            "fax_number": "269-965-5107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 S Main St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465173106",
            "country_code": "US",
            "telephone_number": "574-875-8511",
            "fax_number": "574-875-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VONSEGGERN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004210A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4634180",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900F111210",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "202916337",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P55978",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "201249427",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "230541",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900G011510",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Diane Vantimmeren
• Nicole Alyse Vega, LMSW
• Elizabeth M Verduin, PA-C
• Visiting Nurse Services of Michigan
• Abigail Noel Vivoda, D.C.
• Erica Vruggink
• Payton Lane Waclawski
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3328)
• Wal-Mart Stores East, LP (Vision Center 30-3328)
• Kaleigh Waldron, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.