Active NPI
Michelle Cooper Cantrell, O.D.
- Optometrist
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10757 TPA
- Practice address
- 2830 W Main St
Visalia, CA 93291-4331 - Phone
- (559) 636-1000
- Fax
- (559) 733-7438
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10757 TPA | CA | Primary |
Addresses
Primary practice location
2830 W Main St
Visalia, CA 93291-4331
Mailing address
2830 W Main St
Visalia, CA 93291-4331
Phone (559) 636-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070713000516 | CA | Practitioner - Optometry | 6305946757 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Eye Surgeons a California Professional Medical Corporation
Practice addresses (Care Compare)
1395 W Lacey Blvd
Hanford, CA 93230-5904
Phone (559) 585-3937
2830 W Main St
Visalia, CA 93291-4331
Phone (559) 636-1000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.97 of 100
- Quality
- 97.71
- Improvement activities
- 40
- Cost
- 66.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10757 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Surgeons, a California Professional Medical Corporation | Current | Accepting new patients | |
| Pacific Eye Surgeons, a California Professional Medical Corporation | Optometrist | Current | Accepting new patients |
| Sierra Eye Optometric Corp | Optometrist | Past | Accepting new patients |
Locations
1395 W Lacey Blvd
Hanford, CA 93230
Phone (559) 585-3937
931 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 473-6640
816 E Enos Dr
Ste A
Santa Maria, CA 93454
Phone (805) 346-1717
2830 W Main St
Visalia, CA 93291
Phone (559) 636-1000
Organizations & group practices 10
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.
-
- Ophthalmology Physician
- San Luis Obispo, CA
- NPI 1548262751
CA, Optometrist
-
- Eyewear Supplier
- Lompoc, CA
- NPI 1821952318
-
- Eyewear Supplier
- Visalia, CA
- NPI 1013702802
-
- Eyewear Supplier
- Orcutt, CA
- NPI 1144461377
-
- Eyewear Supplier
- Hanford, CA
- NPI 1174322853
-
- Eyewear Supplier
- Pismo Beach, CA
- NPI 1598906729
-
- Eyewear Supplier
- Paso Robles, CA
- NPI 1821309402
-
- Eyewear Supplier
- Santa Maria, CA
- NPI 1871723015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1407060320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2830 W MAIN ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914331",
"telephone_number": "559-636-1000",
"fax_number": "559-733-7438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 W MAIN ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932914331",
"telephone_number": "559-636-1000",
"fax_number": "559-733-7438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "MICHELLE",
"middle_name": "COOPER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10757 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.