Active NPI
Michael David Neunzig, O.D.
- Optometrist
- Pacific Grove, CA
National Provider Identifier
1083611552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT10966TLG
- Practice address
- 505 Lighthouse Ave
Suite 101
Pacific Grove, CA 93950-2750 - Phone
- (831) 375-5184
- Fax
- (831) 646-8740
- NPI assigned
- Jun 30, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT10966TLG | CA | Primary |
Addresses
Primary practice location
505 Lighthouse Ave
Suite 101
Pacific Grove, CA 93950-2750
Mailing address
505 Lighthouse Ave
Suite 101
Pacific Grove, CA 93950-2750
Phone (831) 375-5184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050104001019 | CA | Practitioner - Optometry | 9133177330 | Practice locations: Hollister, CA; Pacific Grove, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
505 Lighthouse Ave
Pacific Grove, CA 93950-2750
Phone (831) 375-5184
891 Sunset Dr
Hollister, CA 95023-5601
Phone (831) 637-7471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT10966TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of the Monterey Peninsula | Past | Accepting new patients | |
| Vantage Eye Center a Medical Corp | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
-
- Ophthalmology Physician
- Salinas, CA
- NPI 1588765903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1083611552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 LIGHTHOUSE AVE",
"address_2": "SUITE 101",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502750",
"telephone_number": "831-375-5184",
"fax_number": "831-646-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 LIGHTHOUSE AVE",
"address_2": "SUITE 101",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939502750",
"telephone_number": "831-375-5184",
"fax_number": "831-646-8740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUNZIG",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT10966TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.