Organization Active NPI

Kari Visser-Robel OD PC

  • Optometrist
  • Gaylord, MI
National Provider Identifier
1740361427
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KARI VISSER-ROBEL OD PC
Practice address
713 S Wisconsin Ave
Gaylord, MI 49735-1766
Phone
(989) 705-1255
Fax
(989) 705-1476
NPI assigned
Oct 18, 2006
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Kari Martha Visser-Robel, O.D.NPI 1164425666
Title
Owner
Phone
(989) 705-1255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

713 S Wisconsin Ave
Gaylord, MI 49735-1766

Mailing address

PO Box 1220
Gaylord, MI 49734-5220
Phone (989) 705-1255

Other identifiers 1

IdentifierTypeStateIssuer
410047657OtherMIMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070116000229 MI Part B Supplier - Clinic/Group Practice 3274534383 Receives reassigned benefits from 1 practitioner
Practice locations: Gaylord, MI

National Provider Directory

National Provider Directory

Locations

1030 S Wisconsin Ave
Gaylord, MI 49735
Phone (517) 705-1255

713 S Wisconsin Ave
Gaylord, MI 49735
Phone (989) 705-1255

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1740361427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497345220",
            "telephone_number": "989-705-1255",
            "fax_number": "989-705-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S WISCONSIN AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351766",
            "telephone_number": "989-705-1255",
            "fax_number": "989-705-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARI VISSER-ROBEL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "VISSER-ROBEL",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-705-1255",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "410047657",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.