Individual provider Active NPI

Kelly D Carrier, O.D.

  • Optometrist
  • Dexter, MI
National Provider Identifier
1770537250
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003966 Issued in MI
Practice address
7200 Dan Hoey Rd Ste G
Dexter, MI 48130-4201
Phone
(734) 424-0097
Fax
(734) 850-2009
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003966 MI Primary

Addresses

Primary practice location

7200 Dan Hoey Rd Ste G
Dexter, MI 48130-4201

Mailing address

7200 Dan Hoey Rd Ste G
Dexter, MI 48130-4201
Phone (734) 424-0097

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
I20090618000752 MI Practitioner - Optometry 7719038413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7200 Dan Hoey Rd
Suite G
Dexter, MI 48130-4201
Phone (734) 424-0097

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Feb 25, 2015 Accepting new patients
SVS Vision Inc Optometrist CurrentSince Feb 25, 2015 Accepting new patients
Dexter Family Eye Center PC Optometrist CurrentSince Jan 20, 2003 Accepting new patients
Van Optical, P.C. Optometrist Past Accepting new patients
Medical Arts Eye Care PC Optometrist Past Accepting new patients

Locations

1416 S Main St
Ste 360
Adrian, MI 49221
Phone (517) 265-8086

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

7200 Dan Hoey Rd
Ste G
Dexter, MI 48130
Phone (734) 424-0097

3045 Baker Rd
Dexter, MI 48130
Phone (734) 210-1888

1314 N Telegraph Rd
Monroe, MI 48162
Phone (734) 243-0195

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

Organizations & group practices 5

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1770537250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 DAN HOEY RD STE G",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481304201",
            "telephone_number": "734-424-0097",
            "fax_number": "734-580-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DAN HOEY RD STE G",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481304201",
            "telephone_number": "734-424-0097",
            "fax_number": "734-850-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRIER",
        "first_name": "KELLY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dexter, MI

Sources for this page

Verify at the official NPI Registry.