Individual provider Active NPI

Michael Leonard O'Neal, O.D.

  • Optometrist
  • Martinsville, IN
National Provider Identifier
1366450108
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002306 Issued in IN
Practice address
1089 E Morgan St
Martinsville, IN 46151-1744
Phone
(765) 342-2050
Fax
(765) 342-2050
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002306 IN Primary

Addresses

Primary practice location

1089 E Morgan St
Martinsville, IN 46151-1744

Mailing address

1089 E Morgan St
Martinsville, IN 46151-1744
Phone (765) 342-2050

Other identifiers 1

IdentifierTypeStateIssuer
100186570MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20111028000219 IN Practitioner - Optometry 1153436043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1089 E Morgan St
Martinsville, IN 46151-1744

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002306INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsville Family Eye Care Center Inc. Optometrist CurrentSince Aug 1, 1988 Accepting new patients

Locations

1089 E Morgan St
Martinsville, IN 46151
Phone (765) 342-2050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1366450108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 E MORGAN ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511744",
            "telephone_number": "765-342-2050",
            "fax_number": "765-342-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 E MORGAN ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511744",
            "telephone_number": "765-342-2050",
            "fax_number": "765-342-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "MICHAEL",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100186570",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.