Individual provider Active NPI

Michael Pawlowski, O.D.

  • Optometrist
  • Midland, TX
National Provider Identifier
1356794424
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8982T Issued in TX
Practice address
4109 N Midland Dr
Midland, TX 79707-3500
Phone
(432) 694-5259
Fax
(432) 697-3815
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8982T TX Primary

Addresses

Primary practice location

4109 N Midland Dr
Midland, TX 79707-3500

Mailing address

4109 N Midland Dr
Midland, TX 79707-3500
Phone (432) 694-5259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160809001549 TX Practitioner - Optometry 2365736626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midland Vision Health Specialties PLLCGroup PAC ID 8628066362, 6 clinicians

Practice addresses (Care Compare)

4109 N Midland Dr
Midland, TX 79707-3500
Phone (432) 694-5259

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8982TXMDBehavioral Analyst
8982TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Vision Health Specialties PLLC Optometrist CurrentSince Aug 1, 2016 Accepting new patients

Locations

4109 N Midland Dr
Midland, TX 79707
Phone (432) 694-5259

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1356794424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073500",
            "telephone_number": "432-694-5259",
            "fax_number": "432-697-3815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 N MIDLAND DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073500",
            "telephone_number": "432-694-5259",
            "fax_number": "432-697-3815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOWSKI",
        "first_name": "MICHAEL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8982T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.