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

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: October 25, 2026.

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

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 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, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Dejonge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Coast Eyecare PLLC
1.9 mi
Optometrist
456 E 16TH ST STE 1
Holland, MI 49423
  • Reassigned Medicare billing, Michigan enrollment
NPI 1710128111 (616) 395-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Kathryn Dejonge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Dejonge reassigns Medicare benefits to West Coast Eyecare PLLC (Holland, MI). The 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 Kathryn Dejonge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Dejonge 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 9 other insurers 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 15 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.