Keralyn Totten, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005504 Issued in MI

Practice address

2008 Washington Ave
Saint Joseph, MI 49085-2431

Phone

(269) 983-1303

Fax

(269) 983-1306

NPI assigned

Aug 11, 2019

Sex

Female

Sole proprietor

No

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

Illinois College of Optometry at Chicago, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Myeyedr Optometry of Michigan LLCGroup PAC ID 7416288949, 58 clinicians

Practice addresses (Care Compare)

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.

• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Clarkston, MI
  • NPI 1215753553
  NPD
• Myeyedr Optometry of Michigan, LLC

  • Optometrist
  • Saint Joseph, MI
  • NPI 1376128801
  NPD
• Eye Society LLC

  • Optometrist
  • Chicago, IL
  • NPI 1184896094
  NPD (past)

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1154977759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 WASHINGTON AVE",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852431",
            "telephone_number": "269-983-1303",
            "fax_number": "269-983-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTTEN",
        "first_name": "KERALYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011348",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Tittle
• Duane Allen Tolsma, O.D.
• Kimberlee Ann Tomerlin, D.O.
• Tony Palmer, MD, PLLC
• Azra Marie Totobesola
• Angelica Marie Tracy, RPH
• Amanda Trail, PT, DPT, CLT
• Suzanne P. Triemstra, D.D.S.
• Katherine Trierweiler, MSOT
• Christopher Trigger, M.D.

• Optometrist in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.