Dr Adam Michael Carlson, OD - Medicare Optometrist in Grand Rapids, MI

Dr Adam Michael Carlson, OD is a medicare enrolled "Optometrist" provider in Grand Rapids, Michigan. He went to Ferris State College - College Of Optometry and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Carlson Eye Care, Llc and his current practice location is 55 Campau Ave Nw, Ste 10, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 459-7380.

Dr Adam Michael Carlson is licensed to practice in Michigan (license number 4901004537) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1124352687.

Contact Information

Dr Adam Michael Carlson, OD
55 Campau Ave Nw, Ste 10,
Grand Rapids, MI 49503-2642
(616) 459-7380
(616) 459-5752

Map and Direction




Healthcare Provider's Profile

Full NameDr Adam Michael Carlson
GenderMale
SpecialityOptometry
Experience15 Years
Location55 Campau Ave Nw, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adam Michael Carlson attended and graduated from Ferris State College - College Of Optometry in 2009
  NPI Data:
  • NPI Number: 1124352687
  • Provider Enumeration Date: 09/30/2009
  • Last Update Date: 01/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163562406
  • Enrollment ID: I20100508000074

Medical Identifiers

Medical identifiers for Dr Adam Michael Carlson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124352687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901004537 (Michigan)Primary
152W00000XOptometrist 18003669A (Indiana)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carlson Eye Care, Llc55971578913

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adam Michael Carlson allows following entities to bill medicare on his behalf.
Provider NameCherry Street Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1558459164
PECOS PAC ID: 6800707647
Enrollment ID: O20040804000274
Provider NameAnderson Eye Care, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1801064837
PECOS PAC ID: 0648335307
Enrollment ID: O20090212000053
Provider NameCarlson Eye Care, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1215605134
PECOS PAC ID: 5597157891
Enrollment ID: O20220119000301

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adam Michael Carlson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Adam Michael Carlson, OD
55 Campau Ave Nw, Ste 10,
Grand Rapids, MI 49503-2642

Ph: (616) 459-7380
Dr Adam Michael Carlson, OD
55 Campau Ave Nw, Ste 10,
Grand Rapids, MI 49503-2642

Ph: (616) 459-7380

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.