EMILY ELIZABETH VLIETSTRA OD
NPI 1841816220
Optometrist in Rockford, MI

Active since June 22, 2020PECOS EnrolledAccepts Medicare Assignment
2745 10 MILE RD NE, ROCKFORD, MI 49341(616) 951-7115(616) 951-7112 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Nov 3, 2023, Apr 15, 2021 and 2 more (5 updates tracked since 2020).

About Emily Elizabeth Vlietstra Od NPPES

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

EMILY ELIZABETH VLIETSTRA OD (NPI 1841816220) is an individual optometrist in Rockford, Michigan, licensed in Michigan (4901005476) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Belding, and is a graduate of International American University At Puerto Rico - School Of Optometry (2020).

NPPES Registry Identity

NPI1841816220
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameEMILY ELIZABETH VLIETSTRACredential: OD
Location Address2745 10 MILE RD NERockford, MI 49341-9146
Mailing Address2745 10 Mile Rd NeRockford, MI 49341-9146 · (616) 951-7115 · Fax (616) 951-7112
Fax(616) 951-7112
Sole ProprietorNo
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2020
Enumeration DateJune 22, 2020
Last NPPES UpdateMay 18, 20265 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
NPI 1841816220 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 · 4901005476
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.
2745 10 MILE RD NE, Rockford, MI 49341

Secondary Practice Location 1

Location 1936 W State StBelding, MI 48809-9244 · Phone (616) 794-9088

Accepted 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

Emily Elizabeth Vlietstra 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 ID840613212
PECOS Enrollment IDI20200702001507
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 49341 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2745 10 MILE RD NE
ROCKFORD, MI 49341
Optometrist
2745 10 MILE RD NE
ROCKFORD, MI 49341
Optometrist
2745 10 MILE RD NE
ROCKFORD, MI 49341

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 Emily Vlietstra's NPI number?

The NPI number for Emily Vlietstra is 1841816220. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Emily Vlietstra located?

Emily Vlietstra practices at 2745 10 Mile Rd NE, Rockford, MI 49341. The listed phone number is (616) 951-7115.

What is Emily Vlietstra's specialty?

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

Is Emily Vlietstra enrolled in Medicare?

Yes. Emily Vlietstra 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 Emily Vlietstra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 10 other insurers list Emily Vlietstra 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 Emily Vlietstra was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.