Individual provider Active NPI

Karen Joyner Douglas, O.D.

  • Optometrist
  • Saginaw, MI
National Provider Identifier
1669583258
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004041 Issued in MI
Practice address
5025 Shattuck Rd
Saginaw, MI 48603-2823
Phone
(989) 752-7121
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 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 4901004041 MI Primary

Addresses

Primary practice location

5025 Shattuck Rd
Saginaw, MI 48603-2823

Mailing address

3201 Settlers Pass
Saginaw, MI 48603-7254
Phone (989) 799-5001

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
I20140714000794 MI Practitioner - Optometry 2860617511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas Family Vision, P.C.Group PAC ID 8224227582, 2 clinicians

Practice addresses (Care Compare)

5025 Shattuck Rd
Saginaw, MI 48603-2823
Phone (989) 752-7121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004041MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Family Vision, P.C. Optometrist CurrentSince Jun 30, 2014 Accepting new patients

Locations

5025 Shattuck Rd
Saginaw, MI 48603
Phone (989) 752-7121

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1669583258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SETTLERS PASS",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486037254",
            "telephone_number": "989-799-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 SHATTUCK RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032823",
            "telephone_number": "989-752-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "KAREN",
        "middle_name": "JOYNER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.