Individual provider Active NPI

David Alan Carter, OD

  • Optometrist
  • Reedley, CA
National Provider Identifier
1700872983
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8068-TLG Issued in CA
Practice address
1592 11TH St
Suite C2
Reedley, CA 93654
Phone
(559) 638-6099
Fax
(559) 638-4685
NPI assigned
Sep 23, 2005
Reactivated
Apr 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 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 OPT8068-TLG CA Primary

Addresses

Primary practice location

1592 11TH St
Suite C2
Reedley, CA 93654

Mailing address

1592 11TH St
Suite C2
Reedley, CA 93654-2940
Phone (559) 638-6099

Other identifiers 2

IdentifierTypeStateIssuer
770058782OtherCAVSP
770058782OtherCAOTHER INUSANCE COMPANIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100616000757 CA Practitioner - Optometry 7719017805 Practice locations: Reedley, CA
O20100930081912 CA DME Supplier - Physician - Optometrist 3375661945 Practice locations: Reedley, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1592 11TH St
Suite C2
Reedley, CA 93654-2938

1592 11TH St
Suite C2
Reedley, CA 93654-2940
Phone (559) 638-6099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8068-TLGCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1700872983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 11TH ST",
            "address_2": "SUITE C2",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542940",
            "telephone_number": "559-638-6099",
            "fax_number": "559-638-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 11TH ST",
            "address_2": "SUITE C2",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "93654",
            "telephone_number": "559-638-6099",
            "fax_number": "559-638-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2018-07-26",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8068-TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "770058782",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INUSANCE COMPANIES",
            "identifier": "770058782",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.