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DR. JENNIFER SIMON O.D.
NPI 1194012401
Optometrist in Grand Rapids, MI

Active since July 07, 2011PECOS EnrolledAccepts Medicare Assignment
3935 LAKE MICHIGAN DR NW STE 3, GRAND RAPIDS, MI 49534(872) 806-1663 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2019, Aug 30, 2016 (2 updates tracked since 2016).

About Dr. Jennifer Simon O.d. NPPES

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

DR. JENNIFER SIMON O.D. (NPI 1194012401) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004645) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2011).

NPPES Registry Identity

NPI1194012401
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNIFER SIMONCredential: O.D.
Location Address3935 LAKE MICHIGAN DR NW STE 3Grand Rapids, MI 49534-7844
Mailing Address135 Alewa Dr Nw, Ste AGrand Rapids, MI 49504-5801 · (616) 916-4431
Phone(872) 806-1663
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2011
Enumeration DateJuly 7, 2011
Last NPPES UpdateJuly 23, 20192 updates tracked since enumeration
✔ NPI 1194012401 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 · 4901004645
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.
3935 LAKE MICHIGAN DR NW STE 3, Grand Rapids, MI 49534
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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, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Simon O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719156538
PECOS Enrollment IDI20110812000416
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
61 services59 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services11 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49534 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.

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 Jennifer Simon's NPI number?

The NPI number for Jennifer Simon is 1194012401. It was assigned to this individual provider in the NPPES registry on July 7, 2011.

Where is Jennifer Simon located?

Jennifer Simon practices at 3935 Lake Michigan Dr NW Ste 3, Grand Rapids, MI 49534. The listed phone number is (872) 806-1663.

What is Jennifer Simon's specialty?

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

Is Jennifer Simon enrolled in Medicare?

Yes. Jennifer Simon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jennifer Simon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and Providence Health Plan list Jennifer Simon 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 Jennifer Simon was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.