DR. PAUL WALTER KENZIE O.D.
NPI 1144396227
Optometrist in Plymouth, MI

Active since November 28, 2006PECOS Enrolled
108 N MAIN ST, PLYMOUTH, MI 48170(734) 453-8450(734) 453-6347 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Walter Kenzie O.d. NPPES

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

DR. PAUL WALTER KENZIE O.D. (NPI 1144396227) is an individual optometrist in Plymouth, Michigan, licensed in Michigan (4901002510) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144396227
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL WALTER KENZIECredential: O.D.
Location Address108 N MAIN STPlymouth, MI 48170-1236
Mailing Address108 N Main StPlymouth, MI 48170-1236 · (734) 453-8450 · Fax (734) 453-6347
Fax(734) 453-6347
Sole ProprietorYes
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1144396227 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 · 4901002510
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.
108 N MAIN ST, Plymouth, MI 48170

Other Identifiers 2

Medicare UPINT33799MI
Medicare ID-Type Unspecified0222940001MI

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)

Dr. Paul Walter Kenzie O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48170 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 2

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

Optometrist
108 N MAIN ST
PLYMOUTH, MI 48170
Durable Medical Equipment & Medical Supplies
108 N MAIN ST
PLYMOUTH, MI 48170

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 Paul Kenzie's NPI number?

The NPI number for Paul Kenzie is 1144396227. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Paul Kenzie located?

Paul Kenzie practices at 108 N Main St, Plymouth, MI 48170. The listed phone number is (734) 453-8450.

What is Paul Kenzie's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Kenzie enrolled in Medicare?

Yes. Paul Kenzie is registered in the Medicare PECOS enrollment system.

What insurance does Paul Kenzie accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Paul Kenzie 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 Paul Kenzie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.