CARRIE DEWOLFE O.D.
NPI 1184283285
Optometrist in Caledonia, MI
About Carrie Dewolfe O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE DEWOLFE O.D. (NPI 1184283285) is an individual optometrist in Caledonia, Michigan, licensed in Michigan (4901005247) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grand Rapids, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carrie Dewolfe O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Carrie Dewolfe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Richard H Benninger Mdpc
- 6 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carrie Dewolfe's NPI number?
The NPI number for Carrie Dewolfe is 1184283285. It was assigned to this individual provider in the NPPES registry on June 12, 2019. The provider is also known as Carrie Mitera.
Where is Carrie Dewolfe located?
Carrie Dewolfe practices at 9028 N Rodgers Ct SE Ste K, Caledonia, MI 49316. The listed phone number is (168) 916-9245.
What is Carrie Dewolfe's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Carrie Dewolfe enrolled in Medicare?
Yes. Carrie Dewolfe is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carrie Dewolfe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Dewolfe reassigns Medicare benefits to 2 organizations: Richard H Benninger MD PC (Grand Rapids, MI) and Personaleyes Vision Care LLC (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carrie Dewolfe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carrie Dewolfe accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Health and 8 other insurers list Carrie Dewolfe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carrie Dewolfe was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carrie Dewolfe, O.D. · NPI 1184283285
Optometrist provider in Caledonia, Michigan. Individual provider, active in the CMS NPPES registry since June 12, 2019.
## Identity
- **NPI:** 1184283285 (Entity type: Individual)
- **Enumerated:** June 12, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901005247 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 9028 N RODGERS CT SE STE K, Caledonia, MI 49316-7786
- **Phone:** (168) 916-9245 · **Fax:** (616) 891-4321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Richard H Benninger MD PC (NPI 1275618068, Grand Rapids, MI); Personaleyes Vision Care LLC (NPI 1215024450, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1184283285) · Data from the CMS NPPES public registry.