Individual provider Active NPI

Kari Martha Visser-Robel, O.D.

  • Optometrist
  • Gaylord, MI
National Provider Identifier
1164425666
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003735 Issued in MI
Practice address
713 S Wisconsin Ave
Gaylord, MI 49735-1766
Phone
(989) 705-1255
Fax
(989) 705-1476
NPI assigned
May 27, 2005
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003735 MI Primary

Addresses

Primary practice location

713 S Wisconsin Ave
Gaylord, MI 49735-1766

Mailing address

PO Box 1220
Gaylord, MI 49734-5220
Phone (989) 705-1255

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070116000226 MI Practitioner - Optometry 8820099930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

713 S Wisconsin Ave
Gaylord, MI 49735-1766
Phone (989) 705-1255

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003735MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kari Visser-Robel OD PC Optometrist CurrentSince Oct 1, 2006 Accepting new patients
Alpine Eye Care, PC Optometrist PastSince Apr 1, 1994 Accepting new patients
Dr. Bailey Pearson, OD, PLLC Optometrist Past Accepting new patients

Locations

1030 S Wisconsin Ave
Gaylord, MI 49735
Phone (517) 705-1255

713 S Wisconsin Ave
Gaylord, MI 49735
Phone (989) 705-1255

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1164425666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345220",
            "telephone_number": "989-705-1255",
            "fax_number": "989-705-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S WISCONSIN AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351766",
            "telephone_number": "989-705-1255",
            "fax_number": "989-705-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER-ROBEL",
        "first_name": "KARI",
        "middle_name": "MARTHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.