Individual provider Active NPI

Michael T Furlong, M.D.

  • Ophthalmology Physician
  • San Jose, CA
National Provider Identifier
1003922691
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G084894 Issued in CA
Practice address
2107 N 1St St
Suite 101
San Jose, CA 95131-2019
Phone
(408) 453-5600
Fax
(408) 453-5615
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G084894 CA Primary

Addresses

Primary practice location

2107 N 1St St
Suite 101
San Jose, CA 95131-2019

Mailing address

2107 N 1St St
Suite 101
San Jose, CA 95131-2019
Phone (408) 453-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000816 CA Practitioner - Ophthalmology 0547348906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Hawaii John a. Burns School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Furlong Vision Correction Medical Center IncGroup PAC ID 8729166186, 5 clinicians

Practice addresses (Care Compare)

2107 N 1St St
Suite 101
San Jose, CA 95131-2026
Phone (408) 453-5600

Merit-based Incentive Payment System (MIPS)

Final score
74.15 of 100Reported as group
Quality
50.93
Improvement activities
40
Cost
79.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84894CAMDPharmacist
G084894CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Furlong Vision Correction Medical Center Inc Ophthalmology CurrentSince Apr 1, 2007 Accepting new patients
Bay Area Ophthalmic Medical Corporation Ophthalmology Past Accepting new patients
San Jose Refractive, LLC Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

2107 N 1st St
Ste 101
San Jose, CA 95131
Phone (408) 453-5600

1665 Dominican Way
Ste 224
Santa Cruz, CA 95065
Phone (831) 246-8772

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1003922691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312019",
            "telephone_number": "408-453-5600",
            "fax_number": "408-453-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 N 1ST ST",
            "address_2": "SUITE 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312019",
            "telephone_number": "408-453-5600",
            "fax_number": "408-453-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURLONG",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G084894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.