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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BLUE WATER EYE CARE ASSOCIATES PC
NPI 1104081819
Ophthalmology in Port Huron, MI

Active since July 22, 2008
2603 ELECTRIC AVE STE 1, PORT HURON, MI 48060(810) 982-1300(810) 982-9802 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, Feb 20, 2020, Nov 8, 2018 (3 updates tracked since 2018).

About Blue Water Eye Care Associates Pc NPPES

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

BLUE WATER EYE CARE ASSOCIATES PC (NPI 1104081819) is a healthcare organization registered as an ophthalmology in Port Huron, Michigan and active in the NPI registry since July 2008. The organization lists Heather Ledbetter, Billing, as its authorized official.

NPPES Registry Identity

NPI1104081819
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBLUE WATER EYE CARE ASSOCIATES PC
Location Address2603 ELECTRIC AVE STE 1Port Huron, MI 48060-6588
Mailing Address2603 Electric Ave Ste 1Port Huron, MI 48060-6588 · (810) 982-1300 · Fax (810) 982-9802
Phone(810) 982-1300
Fax(810) 982-9802
Organization SubpartNo
Authorized OfficialHeather LedbetterBilling · (810) 982-1300
Enumeration DateJuly 22, 2008
Last NPPES UpdateSeptember 17, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1104081819 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.
2603 ELECTRIC AVE STE 1, Port Huron, MI 48060
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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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Blue Water Eye Care Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Blue Water Eye Care Associates PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kevin Johnson, M.D.
Ophthalmology
NPI 1184721599
2603 ELECTRIC AVE STE 1
Port Huron, MI 48060
(810) 982-1300
✔ PECOS✔ Accepts MedicareSame address
Carol Allen, OD
Optometry
NPI 1902941537
3957 24TH AVE
Fort Gratiot, MI 48059
(810) 984-5005
✔ PECOS4.8 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 Blue Water Eye Care Associates PC's NPI number?

The NPI number for Blue Water Eye Care Associates PC is 1104081819. It was assigned to this organization in the NPPES registry on July 22, 2008.

Where is Blue Water Eye Care Associates PC located?

Blue Water Eye Care Associates PC is located at 2603 Electric Ave Ste 1, Port Huron, MI 48060. The listed phone number is (810) 982-1300.

What is Blue Water Eye Care Associates PC's specialty?

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

Is Blue Water Eye Care Associates PC enrolled in Medicare?

Yes. Blue Water Eye Care Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Blue Water Eye Care Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Blue Water Eye Care Associates 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 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Blue Water Eye Care Associates PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Blue Water Eye Care Associates 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 Blue Water Eye Care Associates PC was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.