Michelle Lucy Perales, OD

Individual provider Active NPI Optometrist · Crownpoint, NM

NPI 1194613968 · NPPES record last updated Aug 14, 2026

Key facts

NPI
1194613968
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OPT-2026-0007 (NM)
Practice address
Hwy 371 Junction Route 9
Crownpoint, NM 87313
Phone
(505) 786-5921
NPI assigned
Jun 27, 2025
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Southern California College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS,PHS,Naihs, Gallup Indian Medical Center (179 clinicians)

Practice addresses (Care Compare)

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000

Hospital & facility affiliations

  • Gallup Indian Medical Center Hospital · Gallup, NM · CCN 320061

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250910004829 TX Practitioner - Optometry 4981107547 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center Current
since Jul 28, 2025
Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36056 CA
Optometrist 152W00000X OPT-2026-0007 NM Yes

Addresses

Primary practice location

Hwy 371 Junction Route 9
Crownpoint, NM 87313

Mailing address

Hwy 371 Junction Route 9
Crownpoint, NM 87313

Other providers in Crownpoint, NM

All providers in Crownpoint, NM · Optometrist in New Mexico

Sources for this page

Verify at the official NPI Registry.