Active NPI
Michael David Carstens, OD
- Optometrist
- Chapel Hill, NC
National Provider Identifier
1376594606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1945
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093TP | Other | NC | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1945 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapel Hill Eyecare, OD PLLC | Past | Accepting new patients | |
| Chapel Hill Eye Care and Optometry PA | Optometrist | Past | 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.
-
- Optometrist
- Chapel Hill, NC
- NPI 1790736106
-
- Medical Specialty Clinic/Center
- Chapel Hill, NC
- NPI 1790291219
-
- Optometrist
- Durham, NC
- NPI 1205819547
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.