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DR. AZRA FAZIL-JAMAL OD
NPI 1740956218
Optometrist in Grand Rapids, MI

Active since August 17, 2021PECOS EnrolledAccepts Medicare Assignment
2500 E BELTLINE AVE SE STE C, GRAND RAPIDS, MI 49546(616) 365-5775 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, Aug 17, 2021 (2 updates tracked since 2021).

About Dr. Azra Fazil-jamal Od NPPES

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

DR. AZRA FAZIL-JAMAL OD (NPI 1740956218) is an individual optometrist in Grand Rapids, Michigan, licensed in Michigan (4901005564) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Ferris State College - College Of Optometry (2021).

NPPES Registry Identity

NPI1740956218
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. AZRA FAZIL-JAMALCredential: OD
Location Address2500 E BELTLINE AVE SE STE CGrand Rapids, MI 49546-5987
Mailing Address2500 E Beltline Ave Se Ste CGrand Rapids, MI 49546-5987 · (616) 365-5775
Phone(616) 365-5775
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2021
Enumeration DateAugust 17, 2021
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
✔ NPI 1740956218 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 · 4901005564
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.
2500 E BELTLINE AVE SE STE C, Grand Rapids, MI 49546
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Secondary Practice Location 1

Location 180 68th St SEGrand Rapids, MI 49548-6980 · Phone (616) 949-2600 · Fax (616) 588-3519

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Azra Fazil-jamal 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 ID941688832
PECOS Enrollment IDI20220606000995
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.

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.

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 Azra Fazil-jamal's NPI number?

The NPI number for Azra Fazil-jamal is 1740956218. It was assigned to this individual provider in the NPPES registry on August 17, 2021.

Where is Azra Fazil-jamal located?

Azra Fazil-jamal practices at 2500 E Beltline Ave SE Ste C, Grand Rapids, MI 49546. The listed phone number is (616) 365-5775.

What is Azra Fazil-jamal's specialty?

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

Is Azra Fazil-jamal enrolled in Medicare?

Yes. Azra Fazil-jamal 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.

What insurance does Azra Fazil-jamal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Azra Fazil-jamal 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 Azra Fazil-jamal was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.