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WEST COAST EYECARE PLLC
NPI 1710128111
Optometrist in Holland, MI

Active since March 13, 2009
456 E 16TH ST STE 1, HOLLAND, MI 49423(616) 395-2020(616) 396-8628 Get Directions Write a Review

NPPES record last updated: November 11, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About West Coast Eyecare Pllc NPPES

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

WEST COAST EYECARE PLLC (NPI 1710128111) is a healthcare organization registered as an optometrist in Holland, Michigan and active in the NPI registry since March 2009. The organization lists Kathryn Mulder Dejonge, Optometrist: Its Manager, as its authorized official.

NPPES Registry Identity

NPI1710128111
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWEST COAST EYECARE PLLC
Location Address456 E 16TH ST STE 1Holland, MI 49423-3788
Mailing Address456 E 16th St Ste 1Holland, MI 49423-3788 · (616) 395-2020 · Fax (616) 396-8628
Phone(616) 395-2020
Fax(616) 396-8628
Organization SubpartNo
Authorized OfficialKathryn Mulder DejongeOptometrist: Its Manager · (616) 395-2020
Enumeration DateMarch 13, 2009
Last NPPES UpdateNovember 11, 2016
✔ NPI 1710128111 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 · 4901004253
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.
456 E 16TH ST STE 1, Holland, MI 49423
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Other Identifiers 2

Medicare PINMI1501MI
Medicare NSC6451360001MI

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)

West Coast Eyecare 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 West Coast Eyecare PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kathryn Dejonge, O.D.
Optometry
NPI 1821147646
855 WASHINGTON AVE
Holland, MI 49423
(616) 395-2020
✔ PECOS✔ Accepts Medicare1.9 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 West Coast Eyecare PLLC's NPI number?

The NPI number for West Coast Eyecare PLLC is 1710128111. It was assigned to this organization in the NPPES registry on March 13, 2009.

Where is West Coast Eyecare PLLC located?

West Coast Eyecare PLLC is located at 456 E 16th St Ste 1, Holland, MI 49423. The listed phone number is (616) 395-2020.

What is West Coast Eyecare PLLC's specialty?

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

Is West Coast Eyecare PLLC enrolled in Medicare?

Yes. West Coast Eyecare PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through West Coast Eyecare PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to West Coast Eyecare 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.

What insurance does West Coast Eyecare PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list West Coast Eyecare PLLC 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 West Coast Eyecare PLLC was last updated on November 11, 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.