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CASCADE OPHTHALMOLOGY PC
NPI 1013979756
Ophthalmology in Grand Rapids, MI

Active since April 06, 2006
791 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546(616) 575-8200(616) 954-9622 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cascade Ophthalmology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASCADE OPHTHALMOLOGY PC (NPI 1013979756) is a healthcare organization registered as an ophthalmology in Grand Rapids, Michigan and active in the NPI registry since April 2006. The organization lists Elizabeth H Henry, Owner, as its authorized official.

NPPES Registry Identity

NPI1013979756
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCASCADE OPHTHALMOLOGY PC
Location Address791 KENMOOR AVE SE, SUITE AGrand Rapids, MI 49546-8625
Mailing Address791 Kenmoor Ave Se, Suite AGrand Rapids, MI 49546-8625 · (616) 575-8200 · Fax (616) 954-9622
Phone(616) 575-8200
Fax(616) 954-9622
Organization SubpartNo
Authorized OfficialElizabeth H HenryOwner · (616) 575-8200
Enumeration DateApril 6, 2006
Last NPPES UpdateSeptember 30, 2015
✔ NPI 1013979756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
791 KENMOOR AVE SE, Grand Rapids, MI 49546
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Other Identifiers 4

Medicare NSC5012170001
Medicare PIN0N30080
Medicare PIN0P52990
Medicare PINDG5769

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cascade Ophthalmology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Cascade Ophthalmology PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Elizabeth Henry, MD
Ophthalmology
NPI 1598727935
791 KENMOOR AVE SE SUITE A
Grand Rapids, MI 49546
(616) 575-8200
✔ PECOS✔ Accepts MedicareSame address
Jason Vanderploeg, OD
Optometry
NPI 1558404152
3205 28TH ST SE STE 1
Kentwood, MI 49512
(616) 957-1600
✔ PECOS✔ Accepts Medicare2.8 mi
James Patyi, OD
Optometry
NPI 1548345630
3999 ALPINE AVE
Comstock Park, MI 49321
(616) 784-0229
✔ PECOS✔ Accepts Medicare8.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cascade Ophthalmology PC's NPI number?

The NPI number for Cascade Ophthalmology PC is 1013979756. It was assigned to this organization in the NPPES registry on April 6, 2006.

Where is Cascade Ophthalmology PC located?

Cascade Ophthalmology PC is located at 791 Kenmoor Ave SE Suite A, Grand Rapids, MI 49546. The listed phone number is (616) 575-8200.

What is Cascade Ophthalmology PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Cascade Ophthalmology PC enrolled in Medicare?

Yes. Cascade Ophthalmology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cascade Ophthalmology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Cascade Ophthalmology PC, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cascade Ophthalmology PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Cascade Ophthalmology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cascade Ophthalmology PC was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.