Ian M. Carr, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1725DT Issued in KY

Practice address

581 Dudley Pike
Edgewood, KY 41017-3296

Phone

(859) 341-0888

Fax

(859) 341-3386

NPI assigned

Aug 7, 2007

Last updated

Jun 17, 2014By the provider in NPPES

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 KY

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carol Lynn Deitz O D IncGroup PAC ID 4981692084, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carol Lynn Deitz O D Inc

  dba Edgewood Eye Center

  • Optometrist
  • Edgewood, KY
  • NPI 1821268392
  Medicare reassignment Care Compare group
• Wing Eyecare, Inc.

  dba Wing Eyecare

  • Optometrist
  • Florence, KY
  • NPI 1912194986
  NPD (past)

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1104017847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 DUDLEY PIKE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173296",
            "telephone_number": "859-341-0888",
            "fax_number": "859-341-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 DUDLEY PIKE",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173296",
            "telephone_number": "859-341-0888",
            "fax_number": "859-341-3386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "IAN",
        "middle_name": "M.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1725DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11769998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica M Carbiener, APRN
• Cardiology Associates, PSC
• Caretenders of Northern Kentucky, Inc. (Caretenders)
• Caretenders VS of Northern Ky, LLC (Caretenders)
• Carol Lynn Deitz O D Inc (Edgewood Eye Center)
• Thomas Paul Carrigan, MD
• Sarah Casey, APRN
• Lauren Castellini, M.D.
• Mario Castillo-Sang, M.D.
• Corryn Deanna Caudy

• Optometrist in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.