DR. KIERSTEN COON O.D. NPI 1033159348

NPI Information

NPI: 1033159348
Provider Name: DR. KIERSTEN COON, O.D.
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
144 MONROE CENTER ST NW
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-0641
Get Directions

DR. Kiersten Coon, O.D. is a pediatrics optometrist in Grand Rapids, MI with 22 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. DR. Kiersten Coon, O.D. NPI is 1033159348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Graduation Year:2002

The provider's business location address is:

144 MONROE CENTER ST NW
GRAND RAPIDS, MI
ZIP 49503-802
Phone: (616) 459-0641
Fax: (616) 459-0621

The NPI 1033159348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/7/2006 and was last updated on 6/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	4901004219	MICHIGAN	No
2	152WV0400X	Optometrist	Vision Therapy	4901004219	MICHIGAN	No
3	152WP0200X	Optometrist	Pediatrics	4901004219	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5474550001	OTHER	MICHIGAN	ADMINASTAR SUPPLY #
2	P19680002	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
3	4599036	MEDICAID	MICHIGAN
4	900D114840	OTHER	MICHIGAN	BCBS PIN NUMBER
5	U92856	MEDICARE UPIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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