Dexter Family Eye Center PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003966 Issued in MI

Legal business name

DEXTER FAMILY EYE CENTER PC

Practice address

3045 Baker Rd
Dexter, MI 48130-1126

Phone

(734) 424-0097

Fax

(734) 424-0097

NPI assigned

May 20, 2006

Last updated

Apr 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Davina Carrier, ODNPI 1770537250

Title

Doctor

Phone

(734) 424-0097

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly D Carrier, O.D.

  • Optometrist
  • Dexter, MI
  • NPI 1770537250
  Medicare reassignment NPD Authorized official
• Megan L Waters, O.D.

  • Optometrist
  • Livonia, MI
  • NPI 1902843212
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1053365536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 BAKER RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301126",
            "telephone_number": "734-424-0097",
            "fax_number": "734-424-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 BAKER RD",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301126",
            "telephone_number": "734-424-0097",
            "fax_number": "734-424-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTER FAMILY EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "CARRIER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DAVINA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "734-424-0097",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003917",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Deneau, LMSW
• Design 4 Sleep LLC
• Dexter Dental Center PLLC
• Dexter Dental Studio PLLC
• Dexter Family Dentistry
• Dexter Pharmacy Inc
• Dexter Pharmacy Inc
• Dexter Podiatry, PC
• Patricia Ann Deyoe, M.A. TLLP
• Paul A Diez, R.PH.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.