Active NPI
Cathy Michaud, O.D.
- Optometrist
- Huntington, IN
National Provider Identifier
1235377474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002635
- Practice address
- 2800 Wal Mart Dr
Huntington, IN 46750-7977 - Phone
- (260) 355-0575
- NPI assigned
- Jan 26, 2009
- Last updated
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 |
| Ronald E. Longenbaugh O.D., Inc. | Optometrist | Past | Accepting new patients |
| Dan R. Host, O.D., P.C. | Optometrist | Past | 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.
-
- Optometrist
- Fort Wayne, IN
- NPI 1114504032
-
- Optometrist
- Columbia City, IN
- NPI 1700932613
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.