Karen M Canupp, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1610 Issued in GA

Practice address

90 Church St
Winder, GA 30680-1714

Phone

(770) 867-2505

Fax

(770) 867-8668

NPI assigned

Jan 26, 2006

Sex

Female

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

Other names 1

• Dr. Karen Lee Mitchell Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Southern College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winder Eye Care Center 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Winder Eye Care Center

  • Optometrist
  • Winder, GA
  • NPI 1154349041

  GA

  Medicare reassignment Care Compare group
• Premier Vision Partners

  • Optometrist
  • Braselton, GA
  • NPI 1376213165

  GA, Optometrist

  Medicare reassignment NPD
• Eye Institute of North Georgia, PC

  • Specialist
  • Lawrenceville, GA
  • NPI 1871611707
  NPD (past)
• Georgia Eye LLC

  • Ophthalmology Physician
  • Athens, GA
  • NPI 1588213284

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1346211679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 CHURCH ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801714",
            "telephone_number": "770-867-2505",
            "fax_number": "770-867-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CHURCH ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306801714",
            "telephone_number": "770-867-2505",
            "fax_number": "770-867-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANUPP",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00796232B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "MITCHELL",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fay Stapleton Burnett, D.M.D.
• Mary E Cain, LPN
• Campbell Dental PC
• Campbell Family and Cosmetic Dentistry
• Spencer Cole Campbell, DDS
• Careview Home Health LLC
• Carmichaels Home Medical Equipment Inc
• Rodney Carter, PT, DPT
• David Alan Causey, MD
• CF Health & Wellness Inc.

• All providers in Winder, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.