Individual provider Active NPI

Cathy Michaud, O.D.

  • Optometrist
  • Huntington, IN
National Provider Identifier
1235377474
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002635 Issued in IN
Practice address
2800 Wal Mart Dr
Huntington, IN 46750-7977
Phone
(260) 355-0575
NPI assigned
Jan 26, 2009
Last updated
Jul 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002635 IN Primary

Addresses

Primary practice location

2800 Wal Mart Dr
Huntington, IN 46750-7977

Mailing address

2800 Wal Mart Dr
Huntington, IN 46750-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041022001094 IN Practitioner - Optometry 6103887039 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002635INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicolas a Soulier P C Optometrist CurrentSince Mar 9, 2021 Accepting new patients
Nicolas a Soulier P C Optometrist Current Accepting new patients
Ronald E. Longenbaugh O.D., Inc. Optometrist PastSince Jan 1, 2019 Accepting new patients
Dan R. Host, O.D., P.C. Optometrist PastSince Aug 23, 2004 Accepting new patients
Evans Eye Care Inc Optometrist Past Accepting new patients

Locations

5229 Coldwater Rd
Fort Wayne, IN 46825
Phone (260) 484-1453

6424 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-2020

6424 W Jefferson Blvd
Ste A
Fort Wayne, IN 46804
Phone (219) 424-7176

Organizations & group practices 5

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": "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

Verify at the official NPI Registry.