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

Dr. Kevin Benjamin Vandenbosch, OD

Individual provider Optometrist · NPI 1215299367

Dr. Kevin Benjamin Vandenbosch, OD is an Optometry in Jackson, Michigan. Graduated from Indiana University - School of Optometry in 2008, 18 years ago. Practices with Mid Michigan Eye Care Center PC, a 31-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
18
Trained at
Indiana University - School of Optometry
Licensed in
MI
In the registry since
2012
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

1116 W Ganson St
Jackson, MI 49202-4240
Phone: (877) 852-8463
Fax: (517) 782-5166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901004710 (MI)

Record details

NPI number1215299367
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 14, 2012
Last updated in NPPESJune 14, 2012

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2008 (18 years in practice)
Group practice Mid Michigan Eye Care Center Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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