Active NPI
Maria A. Michalski, O.D.
- Optometrist
- Smithtown, NY
National Provider Identifier
1114076155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T004686-1
- Practice address
- 51 Route 111
Smithtown, NY 11787-3712 - Phone
- (631) 724-4545
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- 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 | T004686-1 | NY | Primary |
Addresses
Primary practice location
51 Route 111
Smithtown, NY 11787-3712
Mailing address
3 Nicolette CT
Commack, NY 11725-2513
Phone (516) 398-3306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T004686-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ross Optical Incorporated | Past | Accepting new patients |
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.
-
- Optician
- Smithtown, NY
- NPI 1487891644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254960000000",
"number": "1114076155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NICOLETTE CT",
"city": "COMMACK",
"state": "NY",
"postal_code": "117252513",
"telephone_number": "516-398-3306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 ROUTE 111",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873712",
"telephone_number": "631-724-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHALSKI",
"first_name": "MARIA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2009-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T004686-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
- Joel L. Meyers, P.T., DPT
- Michael a Herships Psychologist, PC
- Michael Bishai MD, LLC
- Michael Derosa NP Adult Health PC
- Andreas Costas Michaelides, PH.D.
- Cristina Michelcic, SPECIAL ED TEACHER
- Michele Ahmadi D.P.M. L.L.C.
- Michelle Eckhoff, Marriage and Family Therapist, PLLC
- Mid-Suffolk Neurosurgical Associates, PC
- Middle Country Endocrinology, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.