Individual provider Active NPI

Michael T Cady, O.D.

  • Optometrist
  • Ormond Beach, FL
National Provider Identifier
1073503983
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC01201 Issued in FL
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

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
084976600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504001402 FL Practitioner - Optometry 8426045303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.13 of 100Reported as group
Quality
98.94
Promoting interoperability
100
Improvement activities
40
Cost
38.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1201FLMDAddiction (Substance Use Disorder) Counselor
OPC01201FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Eye Clinic P a Optometrist CurrentSince Feb 21, 2023 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

Verify at the official NPI Registry.