DR. BRIAN EDWARD KONYNENBELT (O.D.) – Optometrist, NPI 1780907246

DR. BRIAN EDWARD KONYNENBELT (O.D.) is a healthcare provider. based in Zeeland, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901004535 (MI). The NPI Number for DR. BRIAN EDWARD KONYNENBELT (O.D.) is 1780907246

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN EDWARD KONYNENBELT (O.D.)
NPI
1780907246
Phone
(616) 772-9149
Address
300 S STATE ST STE 15
Enumeration Date
11 March 2010
Last Update Date
15 January 2013

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
6167729149
Graduation Year
2009 (17 years ago)
PAC ID
7810024239
Group Practice PAC ID
4284639469
Professional Enrollment ID
I20100416000097
Address ID
MI494641678ZE300XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for DR. BRIAN EDWARD KONYNENBELT (O.D.)

  • 300 S STATE ST STE 15

    ZEELAND, MI 494641678

    Phone: (616) 772-9149

    Fax: (616) 772-2906

    Type: Mailing

  • 300, South State Street, Zeeland, Ottawa County, Michigan, 49464, United States

    SUITE 15

    ZEELAND, MI 494641678

    Phone: (616) 772-9149

    Fax: (616) 772-2906

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 43 Open Payments records for all available years, with a total value of $1,151.

Total Amount is formed as General ($1,151) + Research ($0) + Ownership ($0) = $1,151.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alcon Vision LLC ($318).

Total Amount

$1,151

General + Research + Ownership

Payments

43

Total payment records

General Amount

$1,151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-04-16

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
I20100416000097IOptometryMITBD

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 retina7979$0
92014Established patient complete exam of visual system7270$0
99214Established patient office or other outpatient visit, 30-39 minutes5238$0
92133Imaging of optic nerve2624$0
99213Established patient office or other outpatient visit, 20-29 minutes2619$0
View full utilization report →

Insurance plans in this area (ZIP 49464)

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Provider's Procedures

DR. BRIAN EDWARD KONYNENBELT (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMI92134Diagnostic imaging of retina1715

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

Does DR. BRIAN EDWARD KONYNENBELT (O.D.) have a public NPI I can cite?
Public records show DR. BRIAN EDWARD KONYNENBELT (O.D.) under NPI 1780907246.
Is DR. BRIAN EDWARD KONYNENBELT (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. BRIAN EDWARD KONYNENBELT (O.D.) as active.
What type of care does DR. BRIAN EDWARD KONYNENBELT (O.D.) provide?
DR. BRIAN EDWARD KONYNENBELT (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. BRIAN EDWARD KONYNENBELT (O.D.)?
DR. BRIAN EDWARD KONYNENBELT (O.D.) is associated with Zeeland, Michigan in the same public data insurers reference.
Can I export DR. BRIAN EDWARD KONYNENBELT (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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