Nicholas Joseph Carr, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

T6637 Issued in OH

Practice address

138 W Chicago Blvd
Tecumseh, MI 49286-1553

Phone

(517) 423-2148

NPI assigned

Aug 24, 2018

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Ohio State University - College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bennett Optometry LLCGroup PAC ID 5193719367, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nickcarr@direct.eyecare-partners.com

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

• Bennett Optometry LLC

  dba Bennett Optometry

  • Optometrist
  • Ann Arbor, MI
  • NPI 1992792154
  Medicare reassignment Care Compare group NPD
• Thomas G Cunningham, OD

  • Optometrist
  • Tecumseh, MI
  • NPI 1134174832
  Medicare reassignment

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1083195374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208177",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208177",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W CHICAGO BLVD",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492861553",
            "telephone_number": "517-423-2148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "557 E Michigan Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761588",
            "country_code": "US",
            "telephone_number": "734-429-4885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1928 W Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034504",
            "country_code": "US",
            "telephone_number": "734-994-9119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 Plymouth Rd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481052468",
            "country_code": "US",
            "telephone_number": "734-930-2373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481041902",
            "country_code": "US",
            "telephone_number": "734-665-5306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-24",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005408",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T6637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buschs Inc
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• Tiffany Church
• Adria Michelle Clark, LLMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.