MEDICARE: DR. CARL LOUIS STITES O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4901003291	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	900D117550	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1013909415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARL LOUIS STITES O.D.

Provider Business Mailing Address
First Line	:	6840 NORTHWAY DR NE
Second Line	:	SUITE A
City	:	ROCKFORD
State	:	MI
Zip	:	49341-7568
Country	:	US
Telephone Number	:	616-863-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	6840 NORTHWAY DR NE
Second Line	:	SUITE A
City	:	ROCKFORD
State	:	MI
Zip	:	49341-7568
Country	:	US
Telephone Number	:	616-863-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	06/08/2010

Similar Medicare Providers

1720110422 — STITES EYE CARE PC
Practice Location Address:

6840 NORTHWAY DR NE , SUITE A
ROCKFORD, MI
49341-7568

Practice Phone: 616-863-2020
Practice Fax: 616-863-2022

1861057119 — DR. ALEXIS LEIGH GALLAGHER DDS, MS
Practice Location Address:

6840 NORTHWAY DR NE
ROCKFORD, MI
49341-7568

Practice Phone: 616-863-0600
Practice Fax:

1366392730 — SCOGG CONSTRUCTION LLC
Practice Location Address:

7333 SILVER RIDGE DR NE
ROCKFORD, MI
49341-7668

Practice Phone: 616-299-4291
Practice Fax:

1225032709 — PHILIP E HENDERSON MD
Practice Location Address:

8501 MEADOW CRK
ROCKFORD, MI
49341-7524

Practice Phone: 616-267-7884
Practice Fax:

1477553949 — DR. DORIAN PARENT CHIROPRACTOR
Practice Location Address:

6769 COURTLAND DR NE , SUITE 100
ROCKFORD, MI
49341-9606

Practice Phone: 616-863-9482
Practice Fax: 616-863-9486

1992790943 — DR. KEVIN M BURKHART D.C.
Practice Location Address:

515 E DIVISION ST STE 125
ROCKFORD, MI
49341-1378

Practice Phone: 616-863-1020
Practice Fax:

Directions to “ DR. CARL LOUIS STITES O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.