KAITLYN ARNOLD (OD) – Optometrist, NPI 1255905543

KAITLYN ARNOLD (OD) is a healthcare provider. based in Jackson, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005511 (MI). The NPI Number for KAITLYN ARNOLD (OD) is 1255905543

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KAITLYN ARNOLD (OD)
NPI
1255905543
Phone
(517) 783-6928
Address
350 N Wisner St
Enumeration Date
19 May 2021
Last Update Date
19 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7345258170
Graduation Year
2021 (5 years ago)
PAC ID
4284033895
Group Practice PAC ID
7113395864
Professional Enrollment ID
I20210602002201
Address ID
MI481543039LI32415RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

Provider Addresses for KAITLYN ARNOLD (OD)

  • 350 N Wisner St

    Jackson, MI 492024225

    Phone: (517) 783-6928

    Type: Location

  • 6231 MOUNTIE WAY

    JACKSON, MI 492019412

    Phone: (517) 392-0970

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($190).

Total Amount

$271

General + Research + Ownership

Payments

11

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210602002201IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113395864View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YSD
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAITLYN ARNOLD (OD)?
KAITLYN ARNOLD (OD) — NPI 1255905543 — is the standard way to identify this listing.
Does the file indicate KAITLYN ARNOLD (OD) is practicing under active NPI?
Directory data currently reports KAITLYN ARNOLD (OD) as active.
What is KAITLYN ARNOLD (OD)'s specialty?
The listing groups KAITLYN ARNOLD (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for KAITLYN ARNOLD (OD)?
KAITLYN ARNOLD (OD)'s geographic hint is Jackson, Michigan in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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