1. Home
  2. Directory
  3. Michigan
  4. Portage
  5. Optometrist
  6. NPI Profile

PORTAGE FAMILY VISION CARE, PC
NPI 1669711438
Optometrist in Portage, MI

Active since February 13, 2013
6483 S WESTNEDGE AVE, PORTAGE, MI 49002(269) 324-4242(269) 324-6145 Get Directions Write a Review

NPPES record last updated: February 13, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Portage Family Vision Care, Pc NPPES

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

PORTAGE FAMILY VISION CARE, PC (NPI 1669711438) is a healthcare organization registered as an optometrist in Portage, Michigan and active in the NPI registry since February 2013. The organization lists Katie Simon, President/owner, as its authorized official.

NPPES Registry Identity

NPI1669711438
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePORTAGE FAMILY VISION CARE, PC
Location Address6483 S WESTNEDGE AVEPortage, MI 49002-3542
Mailing Address6483 S Westnedge AvePortage, MI 49002-3542 · (269) 324-4242 · Fax (269) 324-6145
Phone(269) 324-4242
Fax(269) 324-6145
Organization SubpartNo
Authorized OfficialKatie SimonPresident/owner · (269) 324-4242
Enumeration DateFebruary 13, 2013
✔ NPI 1669711438 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
Open in Google Maps ↗

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 Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Portage Family Vision Care, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Portage Family Vision Care, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Katie Simon, O.D.
Optometry
NPI 1366429581
6483 S WESTNEDGE AVE
Portage, MI 49002
(269) 324-4242
✔ PECOSSame address
Susan Connolly, O.D.
Optometry
NPI 1740496595
4425 W MAIN ST
Kalamazoo, MI 49006
(269) 345-4425
✔ PECOS5.8 mi
Laura Segraves, OD
Optometry
NPI 1740929520
5500 ARMSTRONG RD
Battle Creek, MI 49037
(269) 966-5600
✔ PECOS17 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 Portage Family Vision Care, PC's NPI number?

The NPI number for Portage Family Vision Care, PC is 1669711438. It was assigned to this organization in the NPPES registry on February 13, 2013.

Where is Portage Family Vision Care, PC located?

Portage Family Vision Care, PC is located at 6483 S Westnedge Ave, Portage, MI 49002. The listed phone number is (269) 324-4242.

What is Portage Family Vision Care, PC's specialty?

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

Is Portage Family Vision Care, PC enrolled in Medicare?

Yes. Portage Family Vision Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portage Family Vision Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Portage Family Vision Care, 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portage Family Vision Care, PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Portage Family Vision Care, 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 Portage Family Vision Care, PC was last updated on February 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.