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KATIE LEE SIMON O.D.
NPI 1366429581
Optometrist in Portage, MI

Active since December 29, 2005PECOS Enrolled
6483 S WESTNEDGE AVE, PORTAGE, MI 49002(269) 324-4242(269) 324-6145 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katie Lee Simon O.d. NPPES

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

KATIE LEE SIMON O.D. (NPI 1366429581) is an individual optometrist in Portage, Michigan, licensed in Michigan (4901004118) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366429581
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKATIE LEE SIMONCredential: O.D.
Location Address6483 S WESTNEDGE AVEPortage, MI 49002-3542
Mailing Address6483 S Westnedge AvePortage, MI 49002-3542 · (269) 324-4242
Phone(269) 324-4242
Fax(269) 324-6145
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateMarch 3, 2022
NPPES CertifiedFebruary 11, 2022
✔ NPI 1366429581 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 · 4901004118
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.
6483 S WESTNEDGE AVE, Portage, MI 49002
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Other Identifiers 1

Medicaid4551220MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Katie Lee Simon 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 49002 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 2

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

EYEMART EXPRESS LLC
Eyewear Supplier
6483 S WESTNEDGE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 324-4200
PORTAGE FAMILY VISION CARE, PC
Optometrist
6483 S WESTNEDGE AVE
PORTAGE, MI 49002
Kalamazoo County (269) 324-4242

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 Katie Simon's NPI number?

The NPI number for Katie Simon is 1366429581. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Katie Simon located?

Katie Simon practices at 6483 S Westnedge Ave, Portage, MI 49002. The listed phone number is (269) 324-4242.

What is Katie Simon's specialty?

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

Is Katie Simon enrolled in Medicare?

Yes. Katie Simon is registered in the Medicare PECOS enrollment system.

What insurance does Katie Simon 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 2 other insurers list Katie 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 Katie Simon was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.