PLASTIC AND RECONSTRUCTIVE EYE SURGERY PC
NPI 1417998337
Ophthalmology in Grand Rapids, MI

Q: What is Plastic And Reconstructive Eye Surgery PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 10, 2006

2757 LEONARD ST NE, GRAND RAPIDS, MI 49525(616) 942-6687(616) 942-9797 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Plastic And Reconstructive Eye Surgery Pc NPPES

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

PLASTIC AND RECONSTRUCTIVE EYE SURGERY PC (NPI 1417998337) is a healthcare organization registered as an ophthalmology in Grand Rapids, Michigan and active in the NPI registry since June 2006. The organization lists Melissa Lynn Meldrum, Owner President, as its authorized official.

NPPES Registry Identity

NPI1417998337

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePLASTIC AND RECONSTRUCTIVE EYE SURGERY PC

Location Address2757 LEONARD ST NEGrand Rapids, MI 49525-5807

Mailing Address2757 Leonard St NeGrand Rapids, MI 49525-5807 · (616) 942-6687 · Fax (616) 942-9797

Phone(616) 942-6687

Fax(616) 942-9797

Organization SubpartNo

Authorized OfficialMelissa Lynn MeldrumOwner President · (616) 942-6687

Enumeration DateJune 10, 2006

Last NPPES UpdateJune 2, 2008

✔ NPI 1417998337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2757 LEONARD ST NE, Grand Rapids, MI 49525

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Other Identifiers 3

OtherDC7010MI · Railroad Medicare

Medicare PIN0P07970MI

Other180D117010MI · Bcbsm

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)

Plastic And Reconstructive Eye Surgery Pc 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 Plastic And Reconstructive Eye Surgery PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jasmina Bajric, MD

Ophthalmology

NPI 1356638027

2757 LEONARD ST NE STE 300
Grand Rapids, MI 49525

(616) 942-6687

✔ PECOS✔ Accepts MedicareSame address

Adam Hassan, MD

Ophthalmology

NPI 1477561140

2757 LEONARD ST NE
Grand Rapids, MI 49525

(616) 942-6687

✔ PECOS✔ Accepts MedicareSame address

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 Plastic And Reconstructive Eye Surgery PC's NPI number?

The NPI number for Plastic And Reconstructive Eye Surgery PC is 1417998337. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Plastic And Reconstructive Eye Surgery PC located?

Plastic And Reconstructive Eye Surgery PC is located at 2757 Leonard St NE, Grand Rapids, MI 49525. The listed phone number is (616) 942-6687.

What is Plastic And Reconstructive Eye Surgery PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Plastic And Reconstructive Eye Surgery PC enrolled in Medicare?

Yes. Plastic And Reconstructive Eye Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Plastic And Reconstructive Eye Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Plastic And Reconstructive Eye Surgery PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Plastic And Reconstructive Eye Surgery PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Plastic And Reconstructive Eye Surgery PC 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 Plastic And Reconstructive Eye Surgery PC was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.