Michael Kevin Makowski, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME0052230 Issued in FL

Practice address

345 Clyde Morris Blvd
Suite 330
Ormond Beach, FL 32174-3111

Phone

(386) 672-4244

Fax

(386) 672-0603

NPI assigned

May 15, 2006

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

Other identifiers 3

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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 and National Provider Directory roles.

• Tomoka Eye Associates PA

  • Ophthalmology Physician
  • Ormond Beach, FL
  • NPI 1659321214
  Medicare reassignment NPD
• Tomoka Eye Associates, P.a.

  • Customized Equipment (DME)
  • Port Orange, FL
  • NPI 1891747176
  NPD
• Tomoka Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Ormond Beach, FL
  • NPI 1982637492
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1427009240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD",
            "address_2": "SUITE 330",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743111",
            "telephone_number": "386-672-4244",
            "fax_number": "386-672-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CLYDE MORRIS BLVD",
            "address_2": "SUITE 330",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321743111",
            "telephone_number": "386-672-4244",
            "fax_number": "386-672-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0052230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2150833",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "18778423210",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078608000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Mary Macgovern, LMT
• Lindsay Mach, PA
• Madison Sweeney DC LLC
• Courtney Mahairas, LMHC, BCBA
• Brenda Lee Mahon, OTD/OTR
• Patricia Makris, PT
• Manne & Borer Endodontics and Microsurgery PL
• Bruce D Manne, DMD
• Jennifer Manousakis
• Marandino Schargen Chiropractic, P.a.

• Ophthalmology Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.