Individual provider Active NPI

Michael Murphy, OD

  • Optometrist
  • Allen Park, MI
National Provider Identifier
1346618634
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004902 Issued in MI
Practice address
23055 Outer Dr
Allen Park, MI 48101-3149
Phone
(313) 359-9075
Fax
(313) 730-8722
NPI assigned
Sep 3, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004902 MI Primary

Addresses

Primary practice location

23055 Outer Dr
Allen Park, MI 48101-3149

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20150915000496 MI Practitioner - Optometry 3678880259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

23055 Outer Dr
Allen Park, MI 48101-3149
Phone (313) 359-9075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004902MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist CurrentSince May 3, 2021 Accepting new patients
Myeyedr Optometry of Michigan, LLC Optometrist Current Accepting new patients
RX Optical Laboratories, Inc. Optometrist PastSince Sep 14, 2015 Accepting new patients

Locations

23055 Outer Dr
Allen Park, MI 48101
Phone (313) 359-9075

800 S Brown St
Jackson, MI 49203
Phone (517) 787-8890

29474 7 Mile Rd
Livonia, MI 48152
Phone (248) 615-2815

44429 Ann Arbor Rd W
Plymouth, MI 48170
Phone (734) 416-0348

48873 Hayes Rd
Shelby Township, MI 48315
Phone (586) 247-2121

15204 Eureka Rd
Southgate, MI 48195
Phone (734) 282-9500

22750 Allen Rd
Woodhaven, MI 48183
Phone (734) 676-4300

3101 Biddle Ave
Wyandotte, MI 48192
Phone (734) 282-5030

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 4

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": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1346618634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23055 OUTER DR",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481013149",
            "telephone_number": "313-359-9075",
            "fax_number": "313-730-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-03",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen Park, MI

Sources for this page

Verify at the official NPI Registry.