Individual provider Active NPI

Karisa Ritter, OD

  • Optometrist
  • Mt Pleasant, MI
National Provider Identifier
1588649628
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KR004202 Issued in MI
Practice address
4164 E Blue Grass Rd
Mt Pleasant, MI 48858-7967
Phone
(989) 772-9481
Fax
(989) 772-5431
NPI assigned
Dec 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X KR004202 MI Primary

Addresses

Primary practice location

4164 E Blue Grass Rd
Mt Pleasant, MI 48858-7967

Mailing address

336 W Front St
146
Traverse City, MI 49684-2204
Phone (231) 941-7788

Other identifiers 1

IdentifierTypeStateIssuer
4536546MedicaidMI

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
I20111209000636 MI Practitioner - Optometry 3971778598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nichols Optical IncGroup PAC ID 2466447966, 6 clinicians

Practice addresses (Care Compare)

336 W Front St
Traverse City, MI 49684-2204
Phone (231) 941-7788

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KR004202MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nichols Optical Inc Optometrist CurrentSince Sep 23, 2003 Accepting new patients
Nichols Optical Inc Past Accepting new patients

Locations

4164 E Blue Grass Rd
Mt Pleasant, MI 48858
Phone (989) 772-9481

336 W Front St
Traverse City, MI 49684
Phone (231) 941-5440

336 W Front St
#146
Traverse City, MI 49684

Interoperability endpoints

  • Direct secure messaging: kritter540405@direct.hfhs.org

Organizations & group practices 2

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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1588649628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 W FRONT ST",
            "address_2": "146",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842204",
            "telephone_number": "231-941-7788",
            "fax_number": "231-941-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 E BLUE GRASS RD",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488587967",
            "telephone_number": "989-772-9481",
            "fax_number": "989-772-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTER",
        "first_name": "KARISA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "KR004202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4536546",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.