Individual provider Active NPI

Paige Robin Shermis Carr, OD

  • Optometrist
  • Ann Arbor, MI
National Provider Identifier
1861165870
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005579 Issued in MI
Practice address
2623 Plymouth Rd
Ann Arbor, MI 48105-2468
Phone
(734) 930-2373
Fax
(734) 930-2390
NPI assigned
Jul 26, 2021
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006993 OH
Optometrist 152W00000X 4901005579 MI Primary

Addresses

Primary practice location

2623 Plymouth Rd
Ann Arbor, MI 48105-2468

Mailing address

PO Box 208177
Dallas, TX 75320-8177
Phone (636) 200-4393

Other practice location 1

1928 W Stadium Blvd
Ann Arbor, MI 48103-4504
Phone (734) 994-9119

Other practice location 2

138 W Chicago Blvd
Tecumseh, MI 49286-1553
Phone (517) 423-2148

Other practice location 3

117 S Main St
Ann Arbor, MI 48104-1902
Phone (734) 665-5306

Other practice location 4

3000 Regency Ct Ste 100
Toledo, OH 43623-3081
Phone (877) 852-8463

Other practice location 5

557 E Michigan Ave
Saline, MI 48176-1588
Phone (734) 429-4885

Other names 1

  • Ms. Paige Robin Shermis Former name

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
I20220506001748 MI Practitioner - Optometry 7012394364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bennett Optometry LLCGroup PAC ID 5193719367, 17 clinicians

Practice addresses (Care Compare)

2623 Plymouth Rd
Ann Arbor, MI 48105-2468
Phone (734) 930-2373

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006993OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bennett Optometry LLC Optometrist CurrentSince Jun 1, 2022 Accepting new patients
Bennett Optometry LLC Optometrist Current Accepting new patients
DRS. Ravin, Birndorf & Ravin, Inc. Optometrist PastSince Aug 1, 2021 Accepting new patients

Locations

117 S Main St
Ann Arbor, MI 48104
Phone (734) 665-5306

138 W Chicago Blvd
Tecumseh, MI 49286
Phone (517) 423-2148

Interoperability endpoints

  • Direct secure messaging: pcarr@direct.eyecare-partners.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1861165870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208177",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753208177",
            "telephone_number": "636-200-4393",
            "fax_number": "636-527-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 PLYMOUTH RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052468",
            "telephone_number": "734-930-2373",
            "fax_number": "734-930-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1928 W Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481034504",
            "country_code": "US",
            "telephone_number": "734-994-9119",
            "fax_number": "734-994-9120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 W Chicago Blvd",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492861553",
            "country_code": "US",
            "telephone_number": "517-423-2148",
            "fax_number": "517-423-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481041902",
            "country_code": "US",
            "telephone_number": "734-665-5306",
            "fax_number": "734-665-5522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Regency Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233081",
            "country_code": "US",
            "telephone_number": "877-852-8463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "557 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Saline",
            "state": "MI",
            "postal_code": "481761588",
            "country_code": "US",
            "telephone_number": "734-429-4885",
            "fax_number": "734-429-2389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "PAIGE",
        "middle_name": "ROBIN SHERMIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006993",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAIGE",
            "last_name": "SHERMIS",
            "middle_name": "ROBIN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.