Carl Louis Stites, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003291 Issued in MI

Practice address

6840 Northway Dr NE
Suite a
Rockford, MI 49341-7568

Phone

(616) 863-2020

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stites Eye Care PC

  • Optometrist
  • Rockford, MI
  • NPI 1720110422
  Medicare reassignment NPD Authorized official
• Dave'S Vision Center Inc.

  • Optometrist
  • Grandville, MI
  • NPI 1972671469
  NPD (past)
• Michigan Street Optical

  • Durable Medical Equipment & Medical Supplies
  • Grand Rapids, MI
  • NPI 1043350689
  NPD (past)
• Richard H Benninger MD PC

  • Ophthalmology Physician
  • Grand Rapids, MI
  • NPI 1275618068

  Optometrist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1013909415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 NORTHWAY DR NE",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417568",
            "telephone_number": "616-863-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 NORTHWAY DR NE",
            "address_2": "SUITE A",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417568",
            "telephone_number": "616-863-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITES",
        "first_name": "CARL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "900D117550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alana Stewart
• Laurie Stewart
• Stephannie Stiefel, BT
• Hannah Stinson, COTA/L
• Stites Eye Care PC
• Melissa Carrie Stout, BT
• Bailey Stowe, MA, CCC-SLP
• Trew J. Stransky, D.O.
• Scott R Strickland, DDS
• Alexandra Stuva

• Optometrist in Rockford, MI
• Providers in Rockford, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.