DR. AZRA FAZIL-JAMAL OD
NPI 1740956218
Optometrist in Grand Rapids, MI
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Azra Fazil-jamal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Blue Sky Vision Eye Care PC
- 30 clinicians in this Medicare group
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 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.
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.
Which organizations bill Medicare for Azra Fazil-jamal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Azra Fazil-jamal reassigns Medicare benefits to 2 organizations: Keil Lasik Vision Center, Plc (Grand Rapids, MI) and Blue Sky Vision Eye Care, P.C (Grand Rapids, 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 Azra Fazil-jamal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Azra Fazil-jamal accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 15 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 10 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.
# Dr. Azra Fazil-Jamal, OD · NPI 1740956218
Optometrist provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since August 17, 2021.
## Identity
- **NPI:** 1740956218 (Entity type: Individual)
- **Enumerated:** August 17, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005564 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 E BELTLINE AVE SE STE C, Grand Rapids, MI 49546-5987
- **Phone:** (616) 365-5775
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Keil Lasik Vision Center, Plc (NPI 1194049973, Grand Rapids, MI); Blue Sky Vision Eye Care, P.C (NPI 1801977202, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ferris State College - College Of Optometry, class of 2021
## Record status
- **NPPES last updated:** November 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740956218) · Data from the CMS NPPES public registry.