Individual provider Active NPI

Michael Thomas O'Neill Jr., O.D

  • Optometrist
  • Warren, PA
National Provider Identifier
1215317177
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003027 Issued in PA
Practice address
2 Farm Colony Dr
Warren, PA 16365-5206
Phone
(814) 726-2303
NPI assigned
Jun 5, 2015
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003027 PA Primary

Addresses

Primary practice location

2 Farm Colony Dr
Warren, PA 16365-5206

Mailing address

2 Farm Colony Dr
Warren, PA 16365-5206
Phone (814) 726-2303

Other practice location 1

2605 W State St
Olean, NY 14760-1824
Phone (716) 484-6700

Other practice location 2

2A Park Way
Seneca, PA 16346
Phone (716) 484-6700

Other practice location 3

462 Fairmount Ave
Jamestown, NY 14701-2721
Phone (716) 484-6700

Other practice location 4

1136 Central Ave
Dunkirk, NY 14048-3423
Phone (716) 484-6700

Other identifiers 2

IdentifierTypeStateIssuer
103028204MedicaidPA
04344161MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address moneill@cecs.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150630000153 PA Practitioner - Optometry 7315259637 Reassigns benefits to 1 organization
I20150717000020 NY Practitioner - Optometry 7315259637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Farm Colony Dr
Warren, PA 16365-5203
Phone (814) 726-2303

462 Fairmount Ave
Jamestown, NY 14701-2721
Phone (716) 484-6700

Merit-based Incentive Payment System (MIPS)

Final score
78 of 100Reported as group
Quality
91.57
Improvement activities
40
Cost
21.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008275NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Eye Care Specialists, P.C. Optometrist CurrentSince Jun 29, 2015 Accepting new patients
Community Eye Care Specialists P C CurrentSince Jun 29, 2015 Accepting new patients

Locations

1136 Central Ave
Dunkirk, NY 14048
Phone (716) 366-2666

2605 W State St
Olean, NY 14760
Phone (716) 372-7396

2 Farm Colony Dr
Warren, PA 16365
Phone (814) 726-2303

Interoperability endpoints

  • Direct secure messaging: moneill@cecs.intellechartdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1215317177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 FARM COLONY DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655206",
            "telephone_number": "814-726-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FARM COLONY DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163655206",
            "telephone_number": "814-726-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2605 W State St",
            "address_purpose": "LOCATION",
            "city": "Olean",
            "state": "NY",
            "postal_code": "147601824",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2A Park Way",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "PA",
            "postal_code": "16346",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "462 Fairmount Ave",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147012721",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1136 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140483423",
            "country_code": "US",
            "telephone_number": "716-484-6700",
            "fax_number": "716-487-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2021-05-12",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103028204",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04344161",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "moneill@cecs.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2 Farm Colony Dr",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163655206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.