Michelle DO

Primary specialty

OptometristTaxonomy code 152W00000X

License

2638 Issued in NC

Practice address

8316 Medical Plaza Dr Ste E
Charlotte, NC 28262-6704

Phone

(704) 547-1551

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Eye Associates OD, PAGroup PAC ID 0648174128, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.92 of 100Reported as group

Quality

93.84

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University Eye Associates OD, PA

  • Optometrist
  • Charlotte, NC
  • NPI 1831157866

  NC, Optometrist

  Medicare reassignment Care Compare group NPD
• University Eye Associates, OD PA

  • Optometrist
  • Charlotte, NC
  • NPI 1205893435
  Care Compare group NPD
• University Eye Associates, OD PA

  • Optometrist
  • Davidson, NC
  • NPI 1912965989
  Care Compare group NPD

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1053949446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 MEDICAL PLAZA DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626704",
            "telephone_number": "704-547-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 MEDICAL PLAZA DR STE E",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282626704",
            "telephone_number": "704-547-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DK Homecare LLC
• DMB Chiropractic PLLC
• Trisha Ann Dmytruk, FNP
• Dna Therapy and Creative Solutions
• DO 2 Others LLC
• Teresa Lan DO, MD
• Suzanne Doad, RD, LDN
• Cuong Tan Doan, MD
• Samantha Radkin Doan, NP
• Thanh-Truc Thuy Doan, MD

• All providers in Charlotte, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.