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

Katie Lee Simon, OD

Individual provider Optometrist · NPI 1366429581

Katie Lee Simon, OD is an Optometrist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2005.

Licensed in
MI
In the registry since
2005
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

6483 S Westnedge Ave
Portage, MI 49002-3542
Phone: (269) 324-4242
Fax: (269) 324-6145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901004118 (MI)

Record details

NPI number1366429581
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESMarch 3, 2022
Certification dateFebruary 11, 2022
Mailing address6483 S Westnedge Ave, Portage, MI 49002-3542

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