Individual provider Active NPI

Michael David Carstens, OD

  • Optometrist
  • Chapel Hill, NC
National Provider Identifier
1376594606
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1945 Issued in NC
Practice address
235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone
(919) 968-4774
Fax
(919) 942-5291
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 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 1945 NC Primary

Addresses

Primary practice location

235 S Elliott Rd
Chapel Hill, NC 27514-5831

Mailing address

235 S Elliott Rd
Chapel Hill, NC 27514-5831
Phone (919) 968-4774

Other identifiers 1

IdentifierTypeStateIssuer
093TPOtherNCBCBS OF NC

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

LicenseStateTypeSpecialty
1945NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chapel Hill Eyecare, OD PLLC Past Accepting new patients
Chapel Hill Eye Care and Optometry PA Optometrist PastSince Sep 1, 1996 Accepting new patients
Optometric Eye Care Center of Durham PA Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1376594606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S ELLIOTT RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145831",
            "telephone_number": "919-968-4774",
            "fax_number": "919-942-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S ELLIOTT RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145831",
            "telephone_number": "919-968-4774",
            "fax_number": "919-942-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSTENS",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "093TP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.