Active NPI
Carolyn Louise Easter, O.D.
- Optometrist
- Novi, MI
National Provider Identifier
1265504898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002957
- Practice address
- 27380 Novi Rd
Novi, MI 48377-3414 - Phone
- (248) 344-1044
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002957 | MI | Primary |
Addresses
Primary practice location
27380 Novi Rd
Novi, MI 48377-3414
Mailing address
27380 Novi Rd
Twelve Oaks Mall
Novi, MI 48377-3414
Phone (248) 646-9328
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901002957 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265504898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27380 NOVI RD",
"address_2": "TWELVE OAKS MALL",
"city": "NOVI",
"state": "MI",
"postal_code": "483773414",
"telephone_number": "248-646-9328",
"fax_number": "248-344-1915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27380 NOVI RD",
"city": "NOVI",
"state": "MI",
"postal_code": "483773414",
"telephone_number": "248-344-1044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASTER",
"first_name": "CAROLYN",
"middle_name": "LOUISE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.