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JEFFREY JAMES KENYON OD
NPI 1659334522
Optometrist in Grand Rapids, MI

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
2112 EAST PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 949-8500(616) 949-2878 Get Directions Write a Review

NPPES record last updated: December 14, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeffrey James Kenyon Od NPPES

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

JEFFREY JAMES KENYON OD (NPI 1659334522) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901004316) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2005).

NPPES Registry Identity

NPI1659334522
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJEFFREY JAMES KENYONCredential: OD
Location Address2112 EAST PARIS AVE SEGrand Rapids, MI 49546-8294
Mailing Address2112 East Paris Ave SeGrand Rapids, MI 49546-8294 · (616) 949-8500 · Fax (616) 949-2878
Phone(616) 949-8500
Fax(616) 949-2878
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2005
Enumeration DateApril 10, 2006
Last NPPES UpdateDecember 14, 2016
✔ NPI 1659334522 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 · 4901004316
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.
2112 EAST PARIS AVE SE, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Identifiers 5

OtherJK004316MI · Bcbsm
Medicare UPINV06474MI
Medicaid4879094MI
Medicare PINM67910004MI
Medicare NSC0557910001MI

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, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffrey James Kenyon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406880954
PECOS Enrollment IDI20070417000320
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 Reassignments

2

Medicare enrollment records show Jeffrey Kenyon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Michigan Eyecare Associates LLC
0.1 mi
Optometrist
2112 EAST PARIS AVE SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 5 clinicians in this Medicare group
NPI 1487691366 (616) 949-8500
Thornapple Eyecare
19 mi
Optometrist
4624 N M 37 HWY
Middleville, MI 49333
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1205617776 (269) 213-8108

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
81 services81 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
37 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services21 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
20 services20 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
16 services16 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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 4

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

WEST MICHIGAN EYECARE ASSOCIATES LLC
Optometrist
2112 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-8500
JEFFREY J RITSEMA OD
Optometrist
2112 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-8500
DR. JON R WIERINGA O.D.
Optometrist
2112 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-8500
DR. LAURA LYNN KENYON O.D.
Optometrist
2112 EAST PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 949-8500

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 Jeffrey Kenyon's NPI number?

The NPI number for Jeffrey Kenyon is 1659334522. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Jeffrey Kenyon located?

Jeffrey Kenyon practices at 2112 East Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 949-8500.

What is Jeffrey Kenyon's specialty?

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

Is Jeffrey Kenyon enrolled in Medicare?

Yes. Jeffrey Kenyon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jeffrey Kenyon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Kenyon reassigns Medicare benefits to 2 organizations: West Michigan Eyecare Associates LLC (Grand Rapids, MI) and Thornapple Eyecare (Middleville, MI). Each 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 Jeffrey Kenyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Kenyon accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jeffrey Kenyon 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 Jeffrey Kenyon was last updated on December 14, 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.