Alexis Nicole Dickerson

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC7028 Issued in FL

Practice address

6125 Royalton Dr SE
Caledonia, MI 49316-8066

Phone

(616) 570-1780

NPI assigned

May 29, 2026

Last updated

Aug 19, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1760313498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 ROYALTON DR SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 ROYALTON DR SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168066",
            "telephone_number": "616-570-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417A Racetrack Rd NW",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325474600",
            "country_code": "US",
            "telephone_number": "850-315-8861",
            "fax_number": "850-864-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC7028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Delorm
• Carlie Demeester, LLMSW
• Derm Institute of West Michigan PLC (Derm Institute)
• Brittany Lynn Deur, M.A.
• Carrie Dewolfe, O.D.
• Amanda Dill, LMSW
• Mallory Dines
• Dr Carrie Dewolfe OD PCL
• Olivia Renee Infante Driscoll, CTRS
• Diane Dwyer

• Optometrist in Caledonia, MI
• Providers in Caledonia, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.