Michelle L. Diaz, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME118175 Issued in FL

Practice address

3316 3Rd St S
Suite 103
Jacksonville, FL 32250-6073

Phone

(904) 241-7865

Fax

(904) 249-2352

NPI assigned

May 19, 2009

Last updated

Jan 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Michelle L. Mihale Former name

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Ophthalmology

Education

University of Miami, LM Miller School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Eye Institute, P.a.Group PAC ID 2466434386, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlantic Eye Institute, P.a.

  • Ophthalmology Physician
  • Jacksonville Beach, FL
  • NPI 1033200241
  Medicare reassignment Care Compare group NPD
• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians and Surgeons PA/Fleming Island Optical

  • Ophthalmology Physician
  • Orange Park, FL
  • NPI 1023120409
  Medicare reassignment NPD
• Atlantic Eye Institute P.a.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1376685404

  Ophthalmology

  NPD
• Harris Wilcox and Donovan P a

  dba Clay Eye Physicians and Surgeons

  • Ophthalmology Physician
  • Fleming Island, FL
  • NPI 1710019435
  NPD
• Harris Wilcox and Donovan PA

  dba Clay Eye Physicians & Surgeons

  • Ophthalmology Physician
  • Middleburg, FL
  • NPI 1659963205
  NPD

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1265667364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 3RD ST S",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322506073",
            "telephone_number": "904-241-7865",
            "fax_number": "904-249-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 3RD ST S",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322506073",
            "telephone_number": "904-241-7865",
            "fax_number": "904-249-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "TRN13682",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME118175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MIHALE",
            "middle_name": "L.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Daniel Diaz, M.D.
• Kardelina Diaz, M.D.
• Kim Diaz, OT
• Mariana Diaz
• Mark Anthony Antonio Diaz, MD
• Nicole Diaz
• Sandra Diaz, LCSW
• Lisa Marie Dibenedetto, ATC, LAT
• Stefano Martin Dicenso, MD
• Charles Earl Dickerson Jr., CRNA

• Ophthalmology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.