Michael Makedonsky OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12463T Issued in CA

Legal business name

MICHAEL MAKEDONSKY OD INC

Practice address

6918 Geary Blvd
San Francisco, CA 94121-1621

Phone

(415) 750-0100

Fax

(415) 750-4200

NPI assigned

Feb 4, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael Makedonsky, ODNPI 1093774150

Title

President

Phone

(925) 457-7375

Specialties & licenses 1

Addresses

Other names 1

• VISION CARE OPTOMETRY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Makedonsky, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1093774150
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273708800000",
    "number": "1497087183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6918 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211621",
            "telephone_number": "415-750-0100",
            "fax_number": "415-750-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6918 GEARY BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941211621",
            "telephone_number": "415-750-0100",
            "fax_number": "415-750-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MAKEDONSKY OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-05-13",
        "status": "A",
        "authorized_official_last_name": "MAKEDONSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-457-7375",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12463T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION CARE OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Micalizio
• Evelyn Miccio, PSY.D.
• Michael D Lagios M D a Professional Corporation
• Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group
• Michael L. Small, M.D. a Medical Corporation
• Michael S Sutro MD Inc
• Michael S Wong Chiropractic Professional Corporation
• Michael Shiloh
• Daniel O'Neill Michael
• Diane Michael, DC

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.