Michael McDermott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000997 Issued in PA

Practice address

6131 Ridge Ave
Philadelphia, PA 19128-2625

Phone

(215) 482-6668

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1991

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Eurooptica LLC

  • Customized Equipment (DME)
  • Philadelphia, PA
  • NPI 1649141292

  Optometrist

  Medicare reassignment NPD Authorized official
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD
• Stella Yurovsky

  dba Eurooptika

  • Durable Medical Equipment & Medical Supplies
  • Philadelphia, PA
  • NPI 1437336476
  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr

  • Optometrist
  • Trappe, PA
  • NPI 1427530963
  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275652349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FULWELL CT",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190021860",
            "telephone_number": "215-793-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 RIDGE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282625",
            "telephone_number": "215-482-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Mary McDermott, CRNP
• Erin O'Neill McDermott, MSN, CRNP, AGPCNP-BC
• Gennifer Gene McDermott
• Jean M McDermott, CRNP
• Meghan Elizabeth McDermott, PA-C
• Brian Thomas McDevitt Jr., CRNA
• Sue McDevitt
• Donna M McDonald-McGinn, MS, CGC
• Allison McDonald
• Andrew McDonald, DPT

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.