CASEY L COULTER (OD) – Optometrist, NPI 1194247056

CASEY L COULTER (OD) is a healthcare provider. based in Burton, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005064 (MI). The NPI Number for CASEY L COULTER (OD) is 1194247056

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
CASEY L COULTER (OD)
NPI
1194247056
Phone
(810) 743-1267
Address
4165 E COURT ST
Enumeration Date
12 July 2017
Last Update Date
24 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107337111
Graduation Year
2017 (9 years ago)
PAC ID
2860768819
Group Practice PAC ID
2860436318
Professional Enrollment ID
I20171019001230
Address ID
MI485323425FL4499XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,203 OPTOMETRY in MI

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Provider Addresses for CASEY L COULTER (OD)

  • 4165, East Court Street, Burton, Genesee County, Michigan, 48509, United States

    BURTON, MI 485091717

    Phone: (810) 743-1267

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $313.

Total Amount is formed as General ($313) + Research ($0) + Ownership ($0) = $313.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Alcon Vision LLC ($101).

Total Amount

$313

General + Research + Ownership

Payments

11

Total payment records

General Amount

$313

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171019001230IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4949$0
92012Established patient problem focused exam of visual system3323$0
92133Imaging of optic nerve1716$0
92083Exam of visual field with extended testing1414$0
92134Imaging of retina1313$0
View full utilization report →

Insurance plans in this area (ZIP 48509)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860436318View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YTX
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

Can I use this page to confirm CASEY L COULTER (OD)'s NPI?
Yes. CASEY L COULTER (OD) is listed with NPI 1194247056 in the public NPI dataset.
Does CMS list CASEY L COULTER (OD) as active?
Yes — CASEY L COULTER (OD) is active in the NPI listing used on this page.
What taxonomy line describes CASEY L COULTER (OD)?
For research purposes, treat CASEY L COULTER (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is CASEY L COULTER (OD) based?
CASEY L COULTER (OD) is tied to Burton, Michigan in the data we show; additional addresses may exist on the full record.
Why does CASEY L COULTER (OD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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