Individual provider Active NPI

M Morse Michels, O.D.

  • Optometrist
  • Drexel Hill, PA
National Provider Identifier
1376581223
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
PAOEG000033 Issued in PA
Practice address
2218 State Rd
Drexel Hill, PA 19026-1501
Phone
(610) 626-4355
Fax
(610) 626-5182
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X PAOEG000033 PA Primary

Addresses

Primary practice location

2218 State Rd
Drexel Hill, PA 19026-1501

Mailing address

2218 State Rd
Drexel Hill, PA 19026-1501
Phone (610) 626-4355

Other identifiers 2

IdentifierTypeStateIssuer
0033149000OtherPAHMO
000285878OtherPABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080227000776 PA Practitioner - Optometry 0446334510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2218 State Rd
Drexel Hill, PA 19026-1501
Phone (610) 626-4355

963 Montgomery Ave
Penn Valley, PA 19072-1501
Phone (610) 667-3115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PAOEG000033PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Morse Michels PC Optometrist CurrentSince Dec 4, 1978 Accepting new patients

Locations

2218 State Rd
Drexel Hill, PA 19026
Phone (610) 626-4355

963 Montgomery Ave
Penn Valley, PA 19072
Phone (610) 667-3115

Interoperability endpoints

  • Direct secure messaging: mmichels@mmorse.curemd.direct-ci.com

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212364800000",
    "number": "1376581223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261501",
            "telephone_number": "610-626-4355",
            "fax_number": "610-626-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261501",
            "telephone_number": "610-626-4355",
            "fax_number": "610-626-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELS",
        "first_name": "M",
        "middle_name": "MORSE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "PAOEG000033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "0033149000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000285878",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.