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

Nikita S. Jaber, OD

Individual provider Optometrist · NPI 1861015489

Nikita S. Jaber, OD is an Optometry in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
6
Licensed in
FL, MI
In the registry since
2020
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

644 Fulton St W Ste C
Grand Rapids, MI 49504-5309
Phone: (616) 465-5503
Fax: (616) 777-5221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005488 (MI)
Optometrist Taxonomy 152W00000X · Licence OPC5783 (FL)

Record details

NPI number1861015489
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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