Individual provider Active NPI

Brian M Carney, O.D.

  • Optometrist
  • Plymouth, MI
National Provider Identifier
1356339998
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003753 Issued in MI
Practice address
1358 S Main St
Plymouth, MI 48170-2253
Phone
(734) 453-6190
Fax
(734) 453-4640
NPI assigned
Oct 7, 2005
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003753 MI Primary

Addresses

Primary practice location

1358 S Main St
Plymouth, MI 48170-2253

Mailing address

1358 S Main St
Plymouth, MI 48170-2253
Phone (734) 453-6190

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
I20040902000137 MI Practitioner - Optometry 7911972963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Eye Care PCGroup PAC ID 8325947443, 2 clinicians

Practice addresses (Care Compare)

1171 S Main St
2 Chelsea Optometry
Chelsea, MI 48118-1621
Phone (734) 475-0300

1358 S Main St
James M Carney PC
Plymouth, MI 48170-2253
Phone (734) 453-6190

23550 Park St
Suite 200
Dearborn, MI 48124-2592
Phone (313) 724-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003753MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian M. Carney P.C. Optometrist CurrentSince Aug 1, 2004 Accepting new patients
Benchmark Optical PLLC Optometrist CurrentSince Oct 1, 2014 Accepting new patients
Quality Eye Care PC CurrentSince Sep 29, 2011 Accepting new patients
Sis Eye Centers Optometrist PastSince Nov 1, 2014 Accepting new patients

Locations

1171 S Main St
Ste 2
Chelsea, MI 48118
Phone (734) 475-0300

23550 Park St
Ste 200
Dearborn, MI 48124
Phone (313) 724-2273

23550 Park St
Ste 20
Dearborn, MI 48124
Phone (313) 724-2273

1358 S Main St
#M
Plymouth, MI 48170
Phone (734) 453-6190

1358 S Main St
Plymouth, MI 48170
Phone (734) 453-6190

Organizations & group practices 4

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1356339998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702253",
            "telephone_number": "734-453-6190",
            "fax_number": "734-453-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 S MAIN ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481702253",
            "telephone_number": "734-453-6190",
            "fax_number": "734-453-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

Verify at the official NPI Registry.