Individual provider Active NPI

Michael Alan Warner, M.D

  • Ophthalmology Physician
  • Lake Mary, FL
National Provider Identifier
1265458293
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME123815 Issued in FL
Practice address
766 N Sun Dr Ste 3090
Lake Mary, FL 32746-2555
Phone
(541) 561-5373
Fax
(407) 264-6877
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD17533 OR
Ophthalmology Physician 207W00000X C52765 CA
Ophthalmology Physician 207W00000X ME123815 FL Primary

Addresses

Primary practice location

766 N Sun Dr Ste 3090
Lake Mary, FL 32746-2555

Mailing address

766 N Sun Dr Ste 3090
Lake Mary, FL 32746-2555
Phone (407) 863-8700

Other practice location 1

399 E Highland Ave # 150
San Bernardino, CA 92404-3808
Phone (909) 327-3118

Other practice location 2

1070 W Elm St
Hermiston, OR 97838
Phone (541) 567-6330

Other practice location 3

160 Boston Ave
Altamonte Springs, FL 32701-4706
Phone (407) 834-7776

Other identifiers 2

IdentifierTypeStateIssuer
073155MedicaidOR
1098177OtherWADSHS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drwarner@magrudereye.imwdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070813000763 CA Practitioner - Ophthalmology 3274431499 Reassigns benefits to 5 organizations
I20151121000193 FL Practitioner - OphthalmologyPractitioner - Plastic and Reconstructive Surgery 3274431499 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Duke University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Cataract Center and Medical Group IncGroup PAC ID 8628061306, 14 clinicians
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

2390 E Florida Ave
Suite 207
Hemet, CA 92544-4705
Phone (951) 652-6100

2600 Redondo Ave
Suite 203
Long Beach, CA 90806-2325
Phone (562) 496-3600

29826 Haun Rd
Suite 100
Menifee, CA 92586-6547
Phone (951) 301-8888

399 E Highland Ave
Suite 401
San Bernardino, CA 92404-3862
Phone (909) 327-3118

494 N Mountain Ave
Upland, CA 91786-5178
Phone (909) 552-7200

766 N Sun Dr
Suite 3090
Lake Mary, FL 32746-2555
Phone (541) 561-5373

77 Scripps Dr
Suite 201
Sacramento, CA 95825-6209
Phone (916) 929-6707

81767 Doctor Carreon Blvd
Suite 101
Indio, CA 92201-5598
Phone (760) 396-3600

855 W Foothill Blvd
Monrovia, CA 91016-1938
Phone (626) 358-1080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52765CAMDPharmacist
C52765CAMDOphthalmology Physician
ME123815FLMDOphthalmology Physician
MD17533ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne H. Martin, M.D., Inc. Ophthalmology CurrentSince Apr 18, 2018 Accepting new patients
Azul Vision Inc. Ophthalmology CurrentSince Mar 3, 2025 Accepting new patients
Robson Eye Institute, PLLC Ophthalmology CurrentSince Mar 9, 2020 Accepting new patients
Eastern Oregon Regional Surgery Current Accepting new patients
California Cataract Center & Medical Group Inc CurrentSince Aug 1, 2007 Accepting new patients
Michael a. Warner, M.D., P.C. Current Accepting new patients
California Eye Professionals Medical Group Inc Ophthalmology CurrentSince Jan 24, 2010 Accepting new patients
Florida Eye Clinic Ambulatory Surgery Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Florida Eye Clinic PA Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients
Florida Eye Clinic P a Ophthalmology CurrentSince Mar 1, 2023 Accepting new patients
Eyecare Specialists Medical Group, Inc Ophthalmology Past Accepting new patients

Locations (25 of 33)

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

1111 Grand Ave
Ste A
Diamond Bar, CA 91765
Phone (909) 860-6768

12442 Limonite Ave
Unit 203
Eastvale, CA 91752
Phone (951) 821-5188

1025 N Brand Blvd
Ste 200
Glendale, CA 91202
Phone (818) 230-2140

150 S Grand Ave
Ste J
Glendora, CA 91741
Phone (626) 335-2114

2390 E Florida Ave
Ste 202
Hemet, CA 92544
Phone (714) 658-7297

2390 E Florida Ave
Ste 207
Hemet, CA 92544
Phone (951) 652-6100

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

855 W Foothill Blvd
Monrovia, CA 91016
Phone (626) 305-9100

3621 Vista Way
Oceanside, CA 92056
Phone (760) 607-3460

44651 Village Ct
Ste 102
Palm Desert, CA 92260
Phone (760) 568-3334

73950 Alessandro Dr
Ste 5
Palm Desert, CA 92260
Phone (760) 568-3334

2619 E Colorado Blvd
#150
Pasadena, CA 91107
Phone (626) 305-9100

9170 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 440-1014

1845 W Redlands Blvd
Ste 101
Redlands, CA 92373
Phone (909) 363-1450

4351 Latham St
Ste 101
Riverside, CA 92501
Phone (951) 777-2210

6377 Riverside Ave
Ste 170
Riverside, CA 92506
Phone (909) 558-2154

4351 Latham St
#101
Riverside, CA 92501

6900 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 682-4353

77 Scripps Dr
Ste 201
Sacramento, CA 95825
Phone (916) 929-6707

207 S Santa Anita St
Ste 310
San Gabriel, CA 91776
Phone (626) 200-1277

1595 E 17th St
Santa Ana, CA 92705
Phone (323) 728-7998

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: drwarner@magrudereye.imwdirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_cep
  • Direct secure messaging: mwarner@directaddress.net
  • Direct secure messaging: michael.warner.p1@direct.atlantiseyecare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1265458293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 N SUN DR STE 3090",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462555",
            "telephone_number": "407-863-8700",
            "fax_number": "407-264-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "766 N SUN DR STE 3090",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462555",
            "telephone_number": "541-561-5373",
            "fax_number": "407-264-6877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 E Highland Ave # 150",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043808",
            "country_code": "US",
            "telephone_number": "909-327-3118",
            "fax_number": "909-327-3119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 W Elm St",
            "address_purpose": "LOCATION",
            "city": "Hermiston",
            "state": "OR",
            "postal_code": "97838",
            "country_code": "US",
            "telephone_number": "541-567-6330",
            "fax_number": "541-564-8744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Boston Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327014706",
            "country_code": "US",
            "telephone_number": "407-834-7776",
            "fax_number": "407-834-0973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD17533",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C52765",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME123815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073155",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "1098177",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drwarner@magrudereye.imwdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "1911 N Mills Ave",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328031407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.