THORNAPPLE EYECARE
NPI 1205617776
Optometrist in Middleville, MI

Q: What is Thornapple Eyecare's NPI number?

The NPI number for Thornapple Eyecare is 1205617776. It was assigned to this organization in the NPPES registry on October 11, 2023.

Q: What is Thornapple Eyecare's specialty?

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

Active since October 11, 2023

4624 N M 37 HWY, MIDDLEVILLE, MI 49333(269) 213-8108 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Thornapple Eyecare NPPES

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

THORNAPPLE EYECARE (NPI 1205617776) is a healthcare organization registered as an optometrist in Middleville, Michigan and active in the NPI registry since October 2023. The organization lists Jeffrey Kenyon, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1205617776

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTHORNAPPLE EYECARE

Location Address4624 N M 37 HWYMiddleville, MI 49333-8162

Mailing Address5098 Ravine DrMiddleville, MI 49333-8482

Phone(269) 213-8108

Organization SubpartNo

Authorized OfficialJeffrey KenyonOwner/doctor · (269) 213-8108

Enumeration DateOctober 11, 2023

Last NPPES UpdateDecember 18, 2023

NPPES CertifiedDecember 18, 2023

✔ NPI 1205617776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

4624 N M 37 HWY, Middleville, MI 49333

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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)

Thornapple Eyecare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Thornapple Eyecare, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Jeffrey Kenyon, OD

Optometry

NPI 1659334522

2112 EAST PARIS AVE SE
Grand Rapids, MI 49546

(616) 949-8500

✔ PECOS✔ Accepts Medicare19 mi

Laura Kenyon, O.D.

Optometry

NPI 1912960923

2112 EAST PARIS AVE SE
Grand Rapids, MI 49546

(616) 949-8500

✔ PECOS✔ Accepts Medicare19 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 Thornapple Eyecare's NPI number?

The NPI number for Thornapple Eyecare is 1205617776. It was assigned to this organization in the NPPES registry on October 11, 2023.

Where is Thornapple Eyecare located?

Thornapple Eyecare is located at 4624 N M 37 Hwy, Middleville, MI 49333. The listed phone number is (269) 213-8108.

What is Thornapple Eyecare's specialty?

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

Is Thornapple Eyecare enrolled in Medicare?

Yes. Thornapple Eyecare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thornapple Eyecare?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Thornapple Eyecare. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thornapple Eyecare accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Thornapple Eyecare 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 Thornapple Eyecare was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.