Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Azra Fazil-Jamal, OD

Individual provider Optometrist · NPI 1740956218

Dr. Azra Fazil-Jamal, OD is an Optometry in Grand Rapids, Michigan. Graduated from Ferris State College - College of Optometry in 2021, 5 years ago. Practices with Blue Sky Vision Eye Care PC, a 51-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Trained at
Ferris State College - College of Optometry
Licensed in
MI
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2500 E Beltline Ave SE Ste C
Grand Rapids, MI 49546-5987
Phone: (616) 365-5775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 68th St Se, Grand Rapids, MI 49548-6980 — (616) 949-2600

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005564 (MI)

Record details

NPI number1740956218
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolFERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduated 2021 (5 years in practice)
Group practice Blue Sky Vision Eye Care Pc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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