Organization Active NPI

Center Road Vision Care PLC

  • Optometrist
  • Burton, MI
National Provider Identifier
1831595388
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CENTER ROAD VISION CARE PLC
Practice address
3385 S Center Rd
Burton, MI 48519-1457
Phone
(810) 244-3434
NPI assigned
Nov 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Carder R Burns, OD
Title
Optometrist
Phone
(810) 244-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3385 S Center Rd
Burton, MI 48519-1457

Mailing address

3385 S Center Rd
Burton, MI 48519-1457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001000541 MI DME Supplier - Physician - OptometristDME Supplier - Optician 2860700465 Practice locations: Burton, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2240512Center Road Vision Care3385 S Center Road, Burton, MI 48519Certificate of waiverOct 19, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Center Road Vision Care PLC3385 S Center Rd, Burton, MI 48519-1457(810) 244-3434 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Prosthetics Cataract Lenses Does not accept assignmentParticipating since Aug 25, 2015

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1831595388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 S CENTER RD",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485191457",
            "telephone_number": "810-244-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER ROAD VISION CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "CARDER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-244-3434",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.