Casey Coulter PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005064 Issued in MI

Legal business name

CASEY COULTER PLLC

Practice address

4165 E Court St
Burton, MI 48509-1717

Phone

(180) 743-1286

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Casey Lee Coiulter, OD

Title

Optometrist

Phone

(810) 441-9007

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1831616754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 MEADOWVIEW DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "48423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 E COURT ST",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091717",
            "telephone_number": "180-743-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY COULTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "COIULTER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-441-9007",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carder R. Burns, O.D, P.C.
• Seandra Carlisle
• Matthew R Carpenter, PT, DPT
• Kori Eileen Carson Dean, ED.S, MS, SSP, ABSNP
• Anthony Danelle Carter
• Andrea L Casler, BA, MPH
• Breann Allie-Makay Cavanaugh
• Ceal Caves
• Jaqushia Cayton
• Cecilia G. Lopez, MD,PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.