Organization Active NPI

Dr Carrie Dewolfe OD PCL

  • Optometrist
  • Caledonia, MI
National Provider Identifier
1962115238
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR CARRIE DEWOLFE OD PCL
Practice address
9028 N Rodgers CT SE Ste K
Caledonia, MI 49316
Phone
(616) 891-9245
Fax
(616) 891-4321
NPI assigned
Jan 3, 2023
Last updated
Sep 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Dr. Carrie Marie Dewolfe, ODNPI 1184283285
Title
Owner/Optometrist
Phone
(616) 891-9245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

9028 N Rodgers CT SE Ste K
Caledonia, MI 49316

Mailing address

9028 N Rodgers CT SE Ste K
Caledonia, MI 49316
Phone (989) 245-8038

Other names 1

  • Dr. Carrie DeWolfe OD PLC Former legal business name

National Provider Directory

National Provider Directory

Locations

9028 N Rodgers Ct SE
Ste K
Caledonia, MI 49316
Phone (616) 891-9245

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1962115238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 N RODGERS CT SE STE K",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "49316",
            "telephone_number": "989-245-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9028 N RODGERS CT SE STE K",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "49316",
            "telephone_number": "616-891-9245",
            "fax_number": "616-891-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CARRIE DEWOLFE OD PCL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "DEWOLFE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "616-891-9245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Carrie DeWolfe OD PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Dr. Carrie DeWolfe OD PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.