Individual provider Active NPI

Michael William Murphy, O.D.

  • Optometrist
  • Du Bois, PA
National Provider Identifier
1013164698
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002111 Issued in PA
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

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219000034 PA Practitioner - Optometry 6204902778 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Ganz MD PLLC CurrentSince Mar 1, 2025 Accepting new patients
David J Kairys Odpc Optometrist CurrentSince Nov 5, 2020 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.

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

Verify at the official NPI Registry.