Individual provider Active NPI

Mark Allen Karsten, OD

  • Optometrist
  • Alpena, MI
National Provider Identifier
1427029305
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002883 Issued in MI
Practice address
224 E Chisholm St Ste a
Alpena, MI 49707-2820
Phone
(989) 354-5890
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002883 MI Primary

Addresses

Primary practice location

224 E Chisholm St Ste a
Alpena, MI 49707-2820

Mailing address

PO Box 158
Alpena, MI 49707
Phone (989) 354-5890

Other practice location 1

200 E Chisholm St
Alpena, MI 49707
Phone (989) 354-5890

Other identifiers 1

IdentifierTypeStateIssuer
900Z465100OtherMIBLUE CROSS

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
002883MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Up North Eye Care, PLLC Optometrist CurrentSince Apr 1, 1994 Accepting new patients

Locations

224 E Chisholm St
Ste A
Alpena, MI 49707
Phone (989) 354-5890

100 W Erie St
Rogers City, MI 49779
Phone (989) 354-5890

Organizations & group practices 1

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1427029305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "49707",
            "telephone_number": "989-354-5890",
            "fax_number": "989-356-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E CHISHOLM ST STE A",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072820",
            "telephone_number": "989-354-5890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Chisholm St",
            "address_purpose": "LOCATION",
            "city": "Alpena",
            "state": "MI",
            "postal_code": "49707",
            "country_code": "US",
            "telephone_number": "989-354-5890",
            "fax_number": "989-354-6213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARSTEN",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "002883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "900Z465100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.