Michael Lawrence Landau, OD
Individual provider Active NPI Optometrist · Key Biscayne, FL
NPI 1376646802 · NPPES record last updated Jun 26, 2008
Key facts
- NPI
- 1376646802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC1161 (FL)
- Practice address
- 260 Crandon Blvd
Suite 44
Key Biscayne, FL 33149 - Phone
- (305) 361-7455
- Fax
- (305) 361-8973
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110209000737 | FL | Practitioner - Optometry | 8921296252 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1161 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Key Biscayne Eye Associates, PLLC | Optometrist | Current |
Accepting new patients |
Locations
260 Crandon Blvd
Ste 44
Key Biscayne, FL 33149
Phone (305) 361-7455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1161 | FL | Yes |
Addresses
Primary practice location
260 Crandon Blvd
Suite 44
Key Biscayne, FL 33149
Mailing address
260 Crandon Blvd
Suite 44
Key Biscayne, FL 33149
Phone (305) 361-7455
Other providers in Key Biscayne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.