Richard J Michelsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13574 Issued in CA

Practice address

2999 Regent Street
Suite 425
Berkeley, CA 94705-2119

Phone

(510) 548-6630

Fax

(510) 548-9765

NPI assigned

Aug 19, 2008

Last updated

Aug 15, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of California - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accuvision Eyecare OptometryGroup PAC ID 4082833702, 3 clinicians

Foresight Eyecare OptometryGroup PAC ID 5092093435, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Accuvision Eyecare Optometry

  • Optometrist
  • Livermore, CA
  • NPI 1356756464
  Medicare reassignment Care Compare group NPD Authorized official
• Foresight Eyecare Optometry

  dba Foresight Optometry

  • Optometrist
  • Concord, CA
  • NPI 1770937484
  Medicare reassignment Care Compare group Authorized official
• Foresight Optometry Incorporated

  • Optometrist
  • Concord, CA
  • NPI 1316276348
  NPD

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1417104670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 OLD 1ST ST",
            "address_2": "SUITE 425",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945502055",
            "telephone_number": "925-449-8188",
            "fax_number": "925-449-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT STREET",
            "address_2": "SUITE 425",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052119",
            "telephone_number": "510-548-6630",
            "fax_number": "510-548-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSEN",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Christoph Michahelles, LMFT
• Lauren Michalsen
• Christopher S Michel, M.D.
• Katrina Elizabeth Michel, M.D.
• Michelle Ahn MD SC
• Glenn Michelson, M.D.
• Kelly Middlebrook
• Gina Midili
• Midwiferyworks
• Lucia A Milburn, PH.D

• Optometrist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.