Cathy Michaud, O.D.
Individual provider Active NPI Optometrist · Huntington, IN
NPI 1235377474 · NPPES record last updated Jul 12, 2010
Key facts
- NPI
- 1235377474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 18002635 (IN)
- Practice address
- 2800 Wal Mart Dr
Huntington, IN 46750-7977 - Phone
- (260) 355-0575
- NPI assigned
- Jan 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041022001094 | IN | Practitioner - Optometry | 6103887039 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18002635 | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicolas a Soulier P C | Optometrist | Current | Accepting new patients |
| Nicolas a Soulier P C | Optometrist | Current |
Accepting new patients |
| Evans Eye Care Inc | Optometrist | Past | Accepting new patients |
| Ronald E. Longenbaugh O.D., Inc. | Optometrist | Past |
Accepting new patients |
| Dan R. Host, O.D., P.C. | Optometrist | Past |
Accepting new patients |
Locations
6424 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-2020
5229 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 484-1453
6424 W Jefferson Blvd
Ste A
Fort Wayne, IN 46804
Phone (219) 424-7176
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002635 | IN | Yes |
Addresses
Primary practice location
2800 Wal Mart Dr
Huntington, IN 46750-7977
Mailing address
2800 Wal Mart Dr
Huntington, IN 46750-7977
NPI Registry JSON
{
"created_epoch": "1232928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1235377474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 WAL MART DR",
"city": "HUNTINGTON",
"state": "IN",
"postal_code": "467507977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 WAL MART DR",
"city": "HUNTINGTON",
"state": "IN",
"postal_code": "467507977",
"telephone_number": "260-355-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAUD",
"first_name": "CATHY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-26",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.