Miguel De Falco, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA2546 Issued in MD

Practice address

169 Jennifer Rd Ste D
Annapolis, MD 21401

Phone

(410) 224-0021

Fax

(410) 224-2098

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

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

State University of New York - State College Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weinstein Eye Associates LLCGroup PAC ID 2466431127, 6 clinicians

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 and National Provider Directory roles.

• Weinstein Eye Associates LLC

  • Optometrist
  • Odenton, MD
  • NPI 1922124072
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1285693598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 JENNIFER RD STE D",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014170",
            "telephone_number": "410-224-0021",
            "fax_number": "410-224-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 JENNIFER RD STE D",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-224-0021",
            "fax_number": "410-224-2098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Medical Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017901",
            "country_code": "US",
            "telephone_number": "410-571-8733",
            "fax_number": "410-571-6309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE FALCO",
        "first_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4014",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621106200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "U7266W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621106201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John P Davliakos, DMD
• Dawn K. Staniszewski, LCSW-C, LLC
• Day Clinic LLC
• Deasia Arieona Day
• Dcimd LLC
• Jenalyn De Leon
• Lyn Nguyen Dea, D.O.
• Brittany Deale, LCSW-C
• Garrett Dean, PA-C, ATC
• Sarah Dean

• Optometrist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.