MAKAYLA JO PORTER OD
NPI 1053988394
Optometrist in Grandville, MI

Active since June 07, 2021PECOS Enrolled
4763 WILSON AVE SW STE G&H, GRANDVILLE, MI 49418(616) 261-4811 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Makayla Jo Porter Od NPPES

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

MAKAYLA JO PORTER OD (NPI 1053988394) is an individual optometrist in Grandville, Michigan, licensed in Michigan (4901005517) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2021).

NPPES Registry Identity

NPI1053988394
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMAKAYLA JO PORTERCredential: OD
Location Address4763 WILSON AVE SW STE G&HGrandville, MI 49418-9015
Mailing Address2056 Morgan RunHudsonville, MI 49426 · (812) 240-9888
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2021
Enumeration DateJune 7, 2021
NPPES CertifiedMay 20, 2021
NPI 1053988394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MI · 4901005517
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4763 WILSON AVE SW STE G&H, Grandville, MI 49418

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Makayla Jo Porter Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577099589
PECOS Enrollment IDI20250513002774, I20251030001498
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Technician/Technologist (Optician)
4763 WILSON AVE SW STE G&H
GRANDVILLE, MI 49418

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053988394, enumerated as an "individual" on June 07, 2021.

The provider is located at 4763 WILSON AVE SW STE G&H GRANDVILLE, MI 49418 and the phone number is (616) 261-4811.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.