NPIMap

Individual provider Active NPI

Michael D Hancox, O.D.

  • Optometrist
  • Brookville, PA
National Provider Identifier
1114918893
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000742 Issued in PA
Practice address
50 Waterford Pike
Brookville, PA 15825-2518
Phone
(814) 849-8344
Fax
(814) 849-7130
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000742 PA Primary

Addresses

Primary practice location

50 Waterford Pike
Brookville, PA 15825-2518

Mailing address

50 Waterford Pike
Brookville, PA 15825-2518
Phone (814) 849-8344

Other identifiers 3

IdentifierTypeStateIssuer
410039349OtherRR MEDICARE INDIVIDUAL
0017250760001MedicaidPA
CF3515OtherRAILROAD MEDICARE GROUP #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhancox@lecpa.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100310000592 PA Practitioner - Optometry 9032215900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laurel Eye ClinicGroup PAC ID 9537061692, 14 clinicians

Practice addresses (Care Compare)

50 Waterford Pike
Brooksville, PA 15825-2518
Phone (814) 849-8344

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
87.01
Promoting interoperability
98
Improvement activities
40
Cost
75.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laurel Eye Clinic CurrentSince Apr 29, 1998 Accepting new patients
Laurel Eye Clinic Optometrist CurrentSince Apr 29, 1998 Accepting new patients
Laurel Eye Clinic Current Accepting new patients
Laurel Eye Clinic Current Accepting new patients
Laurel Eye Clinic Past Accepting new patients
Laurel Eye Clinic Optometrist Past Accepting new patients
Laurel Eye Clinic Optometrist Past Accepting new patients
Laurel Eye Clinic Optometrist Past Accepting new patients
Laurel Eye Clinic Optometrist Past Accepting new patients
Laurel Eye Clinic Optometrist Past Accepting new patients
Laurel Eye Clinic Optometrist Past Accepting new patients

Locations

50 Waterford Pike
Brookville, PA 15825
Phone (814) 849-6591

215 S Broad St
Grove City, PA 16127
Phone (724) 458-5873

215 S Broad St
#217
Grove City, PA 16127
Phone (724) 458-4840

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1114918893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WATERFORD PIKE",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158252518",
            "telephone_number": "814-849-8344",
            "fax_number": "814-849-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WATERFORD PIKE",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158252518",
            "telephone_number": "814-849-8344",
            "fax_number": "814-849-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOX",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "410039349",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017250760001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CF3515",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhancox@lecpa.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Intellechart Direct",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD's",
            "address_1": "50 Waterford Pike",
            "city": "Brookville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "158252518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookville, PA

Sources for this page

Verify at the official NPI Registry.