Organization Active NPI

Michael F Fleck OD Inc

  • Optometrist
  • Napoleon, OH
National Provider Identifier
1346449485
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MICHAEL F FLECK OD INC
Practice address
1066 Chelsea Ave
Napoleon, OH 43545-1294
Phone
(419) 599-9146
Fax
(419) 599-4191
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Michael F Fleck, ODNPI 1457339244
Title
Owner
Phone
(419) 599-9146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1066 Chelsea Ave
Napoleon, OH 43545-1294

Mailing address

1066 Chelsea Ave
Napoleon, OH 43545-1294
Phone (419) 599-9146

Other identifiers 1

IdentifierTypeStateIssuer
0631100001OtherOHDMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040730000334 OH Part B Supplier - Clinic/Group Practice 2466422985 Receives reassigned benefits from 1 practitioner
Practice locations: Napoleon, OH
O20100930090181 OH DME Supplier - Physician - Optometrist 2466422985 Practice locations: Napoleon, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Michael F Fleck OD Inc1066 Chelsea Ave, Napoleon, OH 43545-1202(419) 599-9146 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 11, 2004

National Provider Directory

National Provider Directory

Locations

1066 Chelsea Ave
Ste B
Napoleon, OH 43545
Phone (419) 599-9146

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1346449485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 CHELSEA AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451294",
            "telephone_number": "419-599-9146",
            "fax_number": "419-599-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 CHELSEA AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451294",
            "telephone_number": "419-599-9146",
            "fax_number": "419-599-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F FLECK OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-599-9146",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0631100001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.