St Clair Eye PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003304 Issued in MI

Legal business name

ST CLAIR EYE PLLC

Practice address

1921 Fred Moore Hwy
St Clair, MI 48079

Phone

(810) 326-3937

Fax

(810) 326-0584

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael M Caister, ODNPI 1285813162

Title

Optometrist

Phone

(810) 326-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Clair Eye PLLC

  • Optometrist
  • Casco, MI
  • NPI 1619270972

  O20110427000476

  Same enrollment

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael M Caister, O.D.

  • Optometrist
  • Saint Clair, MI
  • NPI 1285813162
  NPD Authorized official
• Liesl A Black, O.D.

  • Optometrist
  • Casco, MI
  • NPI 1912529512
  NPD
• Lindsey Ellicott-Gasta, O.D.

  • Optometrist
  • Casco, MI
  • NPI 1174908057
  NPD
• Angela Lounsbury, O.D.

  • Optometrist
  • Cass City, MI
  • NPI 1841553245
  NPD (past)
• Neha Chaudhary Gulati, OD

  • Optometrist
  • New Lenox, IL
  • NPI 1023245412
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1730264995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 FRED MOORE HWY",
            "city": "ST CLAIR",
            "state": "MI",
            "postal_code": "48079",
            "telephone_number": "810-326-3937",
            "fax_number": "810-326-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 FRED MOORE HWY",
            "city": "ST CLAIR",
            "state": "MI",
            "postal_code": "48079",
            "telephone_number": "810-326-3937",
            "fax_number": "810-326-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLAIR EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "CAISTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-326-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OG46537",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashton Edward Skelly
• Laura Elizabeth Somogyi, M.S.W., L.B.S.W.
• Son OD PLC
• Spruce Chiropractic
• Spruce Lactation Services
• St Clair Mobile Rehab LLC
• St Clair Pharmacy Inc
• St. Clair Chiropractic Clinic P.C.
• Savjorda Kollcaku Steck
• Mary Ann Hilda Stirling-Doherty, MA LLP LBSW

• Optometrist in St Clair, MI
• Providers in St Clair, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.