DR. JUSTIN CHAMPION ULLREY O.D.
NPI 1982263711
Optometrist in Rockford, MI

Q: What is Justin Ullrey's NPI number?

The NPI number for Justin Ullrey is 1982263711. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Q: What is Justin Ullrey'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 Justin Ullrey was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 June 05, 2019PECOS Enrolled

25 N MAIN ST, ROCKFORD, MI 49341(616) 866-3077 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Justin Champion Ullrey O.d. NPPES

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

DR. JUSTIN CHAMPION ULLREY O.D. (NPI 1982263711) is an individual optometrist in Rockford, Michigan, licensed in Michigan (4901005240) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982263711

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JUSTIN CHAMPION ULLREYCredential: O.D.

Location Address25 N MAIN STRockford, MI 49341-1281

Mailing Address10502 Shaner Ave NeRockford, MI 49341-8461

Phone(616) 866-3077

Sole ProprietorNo

Enumeration DateJune 5, 2019

✔ NPI 1982263711 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 · 4901005240

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.

25 N MAIN ST, Rockford, MI 49341

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Dr. Justin Champion Ullrey O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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

SWAN OPTOMETRY SERVICES, PC

Optometrist

25 N MAIN ST
ROCKFORD, MI 49341

Kent County (616) 866-3077

ROCKFORD VISION SERVICES, INC.

Prosthetic/Orthotic Supplier

25 N MAIN ST
ROCKFORD, MI 49341

Kent County (616) 866-3077

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 Justin Ullrey's NPI number?

The NPI number for Justin Ullrey is 1982263711. It was assigned to this individual provider in the NPPES registry on June 5, 2019.

Where is Justin Ullrey located?

Justin Ullrey practices at 25 N Main St, Rockford, MI 49341. The listed phone number is (616) 866-3077.

What is Justin Ullrey's specialty?

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

Is Justin Ullrey enrolled in Medicare?

Yes. Justin Ullrey is registered in the Medicare PECOS enrollment system.

What insurance does Justin Ullrey accept?

Health plans from Blue Care Network of Michigan, 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 2 other insurers list Justin Ullrey 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 Justin Ullrey was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.