DR. JUSTIN CHAMPION ULLREY O.D.
NPI 1982263711
Optometrist in Rockford, MI
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Justin Ullrey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 5 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 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.
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.
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.
Which organization bills Medicare for Justin Ullrey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Ullrey reassigns Medicare benefits to Family & Pediatric Eye Care Plc (Grand Rapids, 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 Justin Ullrey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Ullrey accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health Insurance and 7 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.
# Dr. Justin Champion Ullrey, O.D. · NPI 1982263711
Optometrist provider in Rockford, Michigan. Individual provider, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1982263711 (Entity type: Individual)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005240 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 N MAIN ST, Rockford, MI 49341-1281
- **Phone:** (616) 866-3077
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Family & Pediatric Eye Care Plc (NPI 1417137084, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1982263711) · Data from the CMS NPPES public registry.