DR. KATHRYN MULDER DEJONGE O.D.
NPI 1821147646
Optometrist in Holland, MI

Q: What is Kathryn Dejonge's NPI number?

The NPI number for Kathryn Dejonge is 1821147646. It was assigned to this individual provider in the NPPES registry on January 10, 2007. The provider is also known as Dr. Kathryn Lynn Mulder O.D..

Q: What is Kathryn Dejonge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Dejonge was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment

855 WASHINGTON AVE, HOLLAND, MI 49423(616) 395-2020(616) 396-8628 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 11, 2025, Oct 22, 2019, Nov 11, 2016 (3 updates tracked since 2016).

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About Dr. Kathryn Mulder Dejonge O.d. NPPES

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

DR. KATHRYN MULDER DEJONGE O.D. (NPI 1821147646) is an individual optometrist in Holland, Michigan, licensed in Michigan (4901004253) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2004).

NPPES Registry Identity

NPI1821147646

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KATHRYN MULDER DEJONGECredential: O.D.

Location Address855 WASHINGTON AVEHolland, MI 49423-7134

Mailing Address855 Washington AveHolland, MI 49423-7134 · (616) 395-2020 · Fax (616) 396-8628

Phone(616) 395-2020

Fax(616) 396-8628

Sole ProprietorYes

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2004

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 11, 20253 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1821147646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MI · 4901004253✔ Licensed in MI · MI4901004253

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.

855 WASHINGTON AVE, Holland, MI 49423

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Other Names 1

Former Name (1)Dr. Kathryn Lynn Mulder O.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Kathryn Mulder Dejonge O.d. 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 ID5294832341

PECOS Enrollment IDI20070524000084

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.

Areas of Expertise CMS Part B claims

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49423 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 Kathryn Dejonge's NPI number?

The NPI number for Kathryn Dejonge is 1821147646. It was assigned to this individual provider in the NPPES registry on January 10, 2007. The provider is also known as Dr. Kathryn Lynn Mulder O.D..

Where is Kathryn Dejonge located?

Kathryn Dejonge practices at 855 Washington Ave, Holland, MI 49423. The listed phone number is (616) 395-2020.

What is Kathryn Dejonge's specialty?

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

Is Kathryn Dejonge enrolled in Medicare?

Yes. Kathryn Dejonge 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 Kathryn Dejonge accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Priority Health and 1 other insurer list Kathryn Dejonge 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 Kathryn Dejonge was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.