DR. ALYSSA MARIE BORR (OD) – Optometrist, NPI 1619469798

DR. ALYSSA MARIE BORR (OD) is a healthcare provider. based in Grandville, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005113 (MI). The NPI Number for DR. ALYSSA MARIE BORR (OD) is 1619469798

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALYSSA MARIE BORR (OD)
NPI
1619469798
Phone
(269) 270-7759
Address
5143 HARBOR HOUSE LN APT 301
Enumeration Date
4 June 2018
Last Update Date
10 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6167729149
Graduation Year
2018 (8 years ago)
PAC ID
3274889118
Group Practice PAC ID
4284639469
Professional Enrollment ID
I20180706000756
Address ID
MI494641678ZE300XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. ALYSSA MARIE BORR (OD)

  • 5143 HARBOR HOUSE LN APT 301

    GRANDVILLE, MI 494189387

    Phone: (269) 270-7759

    Type: Mailing

  • 100, Cherry Street Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49503, United States

    GRAND RAPIDS, MI 495034526

    Phone: (616) 965-8200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $529.

Total Amount is formed as General ($529) + Research ($0) + Ownership ($0) = $529.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Alcon Vision LLC ($297).

Total Amount

$529

General + Research + Ownership

Payments

26

Total payment records

General Amount

$529

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2018-07-06

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
I20180706000756IOptometryMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina6665$0
92014Established patient complete exam of visual system5252$0
99213Established patient office or other outpatient visit, 20-29 minutes2418$0
92004New patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 49418)

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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: 4284639469View 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
-MI

Reviews

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Frequently asked questions

Can I verify DR. ALYSSA MARIE BORR (OD) with an NPI only?
You can start verification with NPI 1619469798 for DR. ALYSSA MARIE BORR (OD), then check state licensing separately.
Does CMS list DR. ALYSSA MARIE BORR (OD) as active?
Yes — DR. ALYSSA MARIE BORR (OD) is active in the NPI listing used on this page.
What is DR. ALYSSA MARIE BORR (OD)'s specialty?
The listing groups DR. ALYSSA MARIE BORR (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. ALYSSA MARIE BORR (OD) list a practice location?
Patients near Grandville, Michigan may find DR. ALYSSA MARIE BORR (OD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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