Active NPI
Michael T Cady, O.D.
- Optometrist
- Ormond Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC01201
- Practice address
- 1089 W Granada Blvd
Suite 4
Ormond Beach, FL 32174-8299 - Phone
- (386) 676-1300
- Fax
- (386) 672-5073
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC01201 | FL | Primary |
Addresses
Primary practice location
1089 W Granada Blvd
Suite 4
Ormond Beach, FL 32174-8299
Mailing address
160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 775-7654
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084976600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.13 of 100
- Quality
- 98.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 38.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| OPC01201 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Eye Clinic P a | Optometrist | Current | Accepting new patients |
Locations
160 Boston Ave
Altamonte Springs, FL 32701
Phone (407) 775-7654
787 Health Care Dr
Orange City, FL 32763
Phone (386) 668-4332
1089 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (850) 626-1300
5727 Canton Cv
Ste 111
Winter Springs, FL 32708
Phone (407) 695-2020
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493942400000",
"number": "1073503983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 BOSTON AVE",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014706",
"telephone_number": "407-775-7654",
"fax_number": "407-834-6082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1089 W GRANADA BLVD",
"address_2": "SUITE 4",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748299",
"telephone_number": "386-676-1300",
"fax_number": "386-672-5073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADY",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2017-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC01201",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084976600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.