Active NPI
Michael William Murphy, O.D.
- Optometrist
- Du Bois, PA
National Provider Identifier
1013164698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG002111
- Practice address
- 5522 Shaffer Rd Unit 127
Du Bois, PA 15801-3319 - Phone
- (814) 371-2211
- Fax
- (814) 371-5015
- NPI assigned
- Aug 26, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4356 | FL | |
| Optometrist | 152W00000X | OEG002111 | PA | Primary |
Addresses
Primary practice location
5522 Shaffer Rd Unit 127
Du Bois, PA 15801-3319
Mailing address
325 Clarion Rd
Johnsonburg, PA 15845-1607
Phone (814) 594-3215
Other practice location 1
210 6th St
Clymer, PA 15728-1257
Phone (724) 422-0150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel Ganz MD PLLC | Current | Accepting new patients | |
| David J Kairys Odpc | Optometrist | Current | Accepting new patients |
Locations
5522 Shaffer Rd
Ste 127
Dubois, PA 15801
Phone (814) 371-2210
500 W Hospital St
Taylor, PA 18517
Phone (570) 483-8450
Networks
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
Organizations & group practices 2
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.
-
- Optometrist
- Du Bois, PA
- NPI 1275808347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1013164698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 CLARION RD",
"city": "JOHNSONBURG",
"state": "PA",
"postal_code": "158451607",
"telephone_number": "814-594-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5522 SHAFFER RD UNIT 127",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158013319",
"telephone_number": "814-371-2211",
"fax_number": "814-371-5015"
}
],
"practiceLocations": [
{
"address_1": "210 6th St",
"address_purpose": "LOCATION",
"city": "Clymer",
"state": "PA",
"postal_code": "157281257",
"country_code": "US",
"telephone_number": "724-422-0150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURPHY",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4356",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG002111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.