Michelle M Hernandez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2600 Issued in FL

Practice address

2560 Gulf to Bay Blvd
Suite 100
Clearwater, FL 33765-4421

Phone

(727) 799-3772

Fax

(727) 791-6598

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle M Boyce Professional name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Site of Tampa Bay PAGroup PAC ID 3173522406, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.3 of 100Reported as individual

Quality

98.61

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Eye Site of Tampa Bay PA

  • Ophthalmology Physician
  • Clearwater, FL
  • NPI 1689773657

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Site of Tampa Bay PA

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1750478632

  Optometrist

  NPD

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1396767208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 GULF TO BAY BLVD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654421",
            "telephone_number": "727-799-3772",
            "fax_number": "727-791-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 GULF TO BAY BLVD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654421",
            "telephone_number": "727-799-3772",
            "fax_number": "727-791-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078935600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BOYCE",
            "middle_name": "M",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anthony Hernandez, LCSW
• Gilbert Travis Hernandez, LCSW
• Jeanette Hernandez, APRN, MW, RN
• Liccy Hernandez, MSN, APRN, FNP-C
• Maria Hernandez, DMD
• Dan Herper, BA PSYCHOLOGY
• Mitchell Ray Herrema, D.O.
• Leydi Liagna Herrera Herrera
• Eric Herrin, DPM
• William Michael Hervey, MD

• Optometrist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.