Individual provider Active NPI

Michael F Fleck, OB

  • Optometrist
  • Napoleon, OH
National Provider Identifier
1457339244
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4363167 Issued in OH
Practice address
1066 Chelsea Ave
Napoleon, OH 43545-1202
Phone
(419) 599-9146
Fax
(419) 599-4191
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4363167 OH Primary

Addresses

Primary practice location

1066 Chelsea Ave
Napoleon, OH 43545-1202

Mailing address

1066 Chelsea Ave
Napoleon, OH 43545-1202
Phone (419) 599-9146

Other identifiers 1

IdentifierTypeStateIssuer
0276062MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040802000114 OH Practitioner - Optometry 8527038058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1066 Chelsea Ave
Suite B
Napoleon, OH 43545-1294
Phone (419) 599-9146

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4363167OHMDOptometrist
3167OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael F Fleck OD Inc Optometrist CurrentSince Sep 1, 1975 Accepting new patients

Locations

1066 Chelsea Ave
Ste B
Napoleon, OH 43545
Phone (419) 599-9146

1066 Chelsea Ave
Napoleon, OH 43545
Phone (419) 599-4216

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1457339244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 CHELSEA AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451202",
            "telephone_number": "419-599-9146",
            "fax_number": "419-599-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 CHELSEA AVE",
            "city": "NAPOLEON",
            "state": "OH",
            "postal_code": "435451202",
            "telephone_number": "419-599-9146",
            "fax_number": "419-599-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4363167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0276062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napoleon, OH

Sources for this page

Verify at the official NPI Registry.