Michaela Marie Bartels, O.D.

Individual provider Active NPI Optometrist · Cedar Hill, TX

NPI 1124470323 · NPPES record last updated Mar 5, 2017

Key facts

NPI
1124470323
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
8895TG (TX)
Practice address
707 N Highway 67
#150
Cedar Hill, TX 75104-2176
Phone
(972) 299-8967
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8895TTXMDOptometrist
8895TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8895T TX
Optometrist 152W00000X 8895TG TX Yes

Addresses

Primary practice location

707 N Highway 67
#150
Cedar Hill, TX 75104-2176

Mailing address

707 N Highway 67
#150
Cedar Hill, TX 75104-2176

Other names

  • Dr. Michaela Marie Brungardt Former name

Other providers in Cedar Hill, TX

All providers in Cedar Hill, TX · Optometrist in Texas

Sources for this page

Verify at the official NPI Registry.