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DR. JORDAN KUIPERS O.D.
NPI 1639459019
Optometrist in Wyoming, MI

Active since August 17, 2011PECOS Enrolled
5838 METRO WAY, WYOMING, MI 49519(616) 249-5300 Get Directions Write a Review

NPPES record last updated: November 9, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jordan Kuipers O.d. NPPES

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

DR. JORDAN KUIPERS O.D. (NPI 1639459019) is an individual optometrist in Wyoming, Michigan, licensed in Michigan (4901004648) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639459019
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JORDAN KUIPERSCredential: O.D.
Location Address5838 METRO WAYWyoming, MI 49519
Mailing Address5838 Metro WayWyoming, MI 49519 · (616) 249-5300
Phone(616) 249-5300
Sole ProprietorNo
Enumeration DateAugust 17, 2011
Last NPPES UpdateNovember 9, 2016
✔ NPI 1639459019 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 · 4901004648
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.
5838 METRO WAY, Wyoming, MI 49519
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jordan Kuipers 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.

Medicare Billing Reassignment

Medicare enrollment records show Jordan Kuipers reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family & Pediatric Eye Care Plc
7.8 mi
Pediatrics
144 MONROE CENTER
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1417137084 (616) 459-0641

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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 Jordan Kuipers's NPI number?

The NPI number for Jordan Kuipers is 1639459019. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Jordan Kuipers located?

Jordan Kuipers practices at 5838 Metro Way, Wyoming, MI 49519. The listed phone number is (616) 249-5300.

What is Jordan Kuipers's specialty?

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

Is Jordan Kuipers enrolled in Medicare?

Yes. Jordan Kuipers is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jordan Kuipers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jordan Kuipers reassigns Medicare benefits to Family & Pediatric Eye Care Plc (Grand Rapids, MI). The 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 Jordan Kuipers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jordan Kuipers was last updated on November 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.