Individual provider Active NPI

Michael M Caister, O.D.

  • Optometrist
  • Saint Clair, MI
National Provider Identifier
1285813162
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003304 Issued in MI
Practice address
1921 Fred Moore Hwy
Saint Clair, MI 48079-4702
Phone
(810) 326-3937
Fax
(810) 326-0584
NPI assigned
Oct 29, 2007
Last updated
May 19, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003304 MI Primary

Addresses

Primary practice location

1921 Fred Moore Hwy
Saint Clair, MI 48079-4702

Mailing address

1921 Fred Moore Hwy
Saint Clair, MI 48079-4702
Phone (810) 326-3937

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
I20110509000486 MI Practitioner - Optometry 9638285075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Eye PLLCGroup PAC ID 3577674597, 2 clinicians

Practice addresses (Care Compare)

1921 Fred W Moore Hwy
Saint Clair, MI 48079-4702
Phone (810) 326-3937

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as individual
Quality
70.04
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003304MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Eye PLLC Optometrist CurrentSince Sep 2, 2003 Accepting new patients
St Clair Eye PLLC Optometrist CurrentSince Sep 2, 2003 Accepting new patients

Locations

3443 County Line Rd
Casco, MI 48064
Phone (586) 727-8000

1921 Fred W Moore Hwy
Saint Clair, MI 48079
Phone (810) 326-3937

Organizations & group practices 2

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1285813162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 FRED MOORE HWY",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480794702",
            "telephone_number": "810-326-3937",
            "fax_number": "810-326-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 FRED MOORE HWY",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480794702",
            "telephone_number": "810-326-3937",
            "fax_number": "810-326-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAISTER",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair, MI

Sources for this page

Verify at the official NPI Registry.