Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kalamazoo Optometry PC

Organization Optometrist · NPI 1417148669

Kalamazoo Optometry PC is an Optometrist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5949 Lovers Ln
Portage, MI 49002-1680
Phone: (269) 382-6500
Fax: (269) 382-2286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901002237 (MI)
Optometrist Taxonomy 152W00000X · Licence 4901002440 (MI)
Optometrist Taxonomy 152W00000X · Licence 4901004197 (MI)
Optometrist Taxonomy 152W00000X · Licence 4901002352 (MI)

Record details

NPI number1417148669
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Hiemstra — Office Manager · (269) 382-6500
NPI enumeratedAugust 5, 2007
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address5949 Lovers Ln, Portage, MI 49002-1680

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