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

Dr. Kathryn Mulder Dejonge, OD

Individual provider Optometrist · NPI 1821147646

Dr. Kathryn Mulder Dejonge, OD is an Optometry in Holland, Michigan. Graduated from Illinois College of Optometry at Chicago in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
Illinois College of Optometry at Chicago
Licensed in
MI
In the registry since
2007
Specialties on file
2
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

855 Washington Ave
Holland, MI 49423-7134
Phone: (616) 395-2020
Fax: (616) 396-8628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901004253 (MI)
Optometrist Taxonomy 152W00000X · Licence MI4901004253 (MI)

Record details

NPI number1821147646
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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