TROY J. LEBARON OD PLLC
NPI 1417700824
Optometrist in Kentwood, MI

Q: What is Troy J. Lebaron Od PLLC's NPI number?

The NPI number for Troy J. Lebaron Od PLLC is 1417700824. It was assigned to this organization in the NPPES registry on April 8, 2024.

Q: What is Troy J. Lebaron Od PLLC's specialty?

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

Active since April 08, 2024

4326 28TH ST SE, KENTWOOD, MI 49512(616) 949-7442 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Troy J. Lebaron Od Pllc NPPES

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

TROY J. LEBARON OD PLLC (NPI 1417700824) is a healthcare organization registered as an optometrist in Kentwood, Michigan and active in the NPI registry since April 2024. The organization lists Troy Lebaron, Optometrist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1417700824

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTROY J. LEBARON OD PLLC

Location Address4326 28TH ST SEKentwood, MI 49512-1908

Mailing Address6075 Ada Dr SeAda, MI 49301-7547 · (616) 469-0056

Phone(616) 949-7442

Organization SubpartNo

Authorized OfficialTroy LebaronOptometrist/ Owner · (616) 469-0056

Enumeration DateApril 8, 2024

NPPES CertifiedApril 8, 2024

✔ NPI 1417700824 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.

4326 28TH ST SE, Kentwood, MI 49512

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Troy J. Lebaron Od Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Troy J. Lebaron Od PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Troy Lebaron, O.D.

Optometry

NPI 1124210091

6750 KALAMAZOO AVE SE
Grand Rapids, MI 49508

(616) 656-0505

✔ PECOS5.8 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 Troy J. Lebaron Od PLLC's NPI number?

The NPI number for Troy J. Lebaron Od PLLC is 1417700824. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Troy J. Lebaron Od PLLC located?

Troy J. Lebaron Od PLLC is located at 4326 28th St SE, Kentwood, MI 49512. The listed phone number is (616) 949-7442.

What is Troy J. Lebaron Od PLLC's specialty?

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

Is Troy J. Lebaron Od PLLC enrolled in Medicare?

Yes. Troy J. Lebaron Od PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Troy J. Lebaron Od PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Troy J. Lebaron Od PLLC. 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.

When was this NPI record last updated?

The NPPES record for Troy J. Lebaron Od PLLC was last updated on April 8, 2024. 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.