Individual provider Active NPI

Michael F Carelli, O.D.

  • Optometrist
  • Stuart, FL
National Provider Identifier
1497708515
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP0002442 Issued in FL
Practice address
2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone
(772) 287-8777
Fax
(772) 287-1996
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP0002442 FL Primary

Addresses

Primary practice location

2090 SE Ocean Blvd
Stuart, FL 34996-3304

Mailing address

2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 287-8777

Other identifiers 1

IdentifierTypeStateIssuer
078776101MedicaidFL

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111229000660 FL Practitioner - Optometry 4981812583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stuart Eye Institute PAGroup PAC ID 7911804935, 6 clinicians

Practice addresses (Care Compare)

2090 SE Ocean Blvd
Stuart, FL 34996-3304
Phone (772) 287-8777

Merit-based Incentive Payment System (MIPS)

Final score
91.67 of 100Reported as group
Quality
97.57
Improvement activities
40
Cost
75.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP0002442FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart Eye Institute PA CurrentSince Oct 15, 1999 Accepting new patients

Locations

1701 SE Hillmoor Dr
Port St Lucie, FL 34952
Phone (631) 983-7421

2090 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 287-8777

Interoperability endpoints

  • Direct secure messaging: mikec@stuarteye.ecldirect.net

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1497708515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963304",
            "telephone_number": "772-287-8777",
            "fax_number": "772-287-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963304",
            "telephone_number": "772-287-8777",
            "fax_number": "772-287-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARELLI",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078776101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.