Active NPI
Cliff J Carter, O.D.
- Corneal and Contact Management Optometrist
- Jackson, MI
National Provider Identifier
1962505065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 4901003986
- Practice address
- 1700 W Michigan Ave
Jackson, MI 49202-4005 - Phone
- (517) 817-5261
- Fax
- (517) 817-5271
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 4901003986 | MI | Primary |
Addresses
Primary practice location
1700 W Michigan Ave
Jackson, MI 49202-4005
Mailing address
289 Highland Dr
Jackson, MI 49201-9165
Phone (517) 522-6069
Other names 1
- Clifford J Carter
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
Enrollment records 1
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)
904 N Wisner St
Gregory Optical
Jackson, MI 49202-3144
Phone (517) 782-9388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- ccarter530305@direct.hfhs.org
Organizations & group practices 1
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.
-
- Eyewear Supplier
- Jackson, MI
- NPI 1063406510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1962505065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 HIGHLAND DR",
"city": "JACKSON",
"state": "MI",
"postal_code": "492019165",
"telephone_number": "517-522-6069",
"fax_number": "517-817-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492024005",
"telephone_number": "517-817-5261",
"fax_number": "517-817-5271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CLIFF",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MI",
"license": "4901003986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLIFFORD",
"last_name": "CARTER",
"middle_name": "J",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.