Michael Paul Good, OD
Individual provider Active NPI Optometrist · Avon Lake, OH
NPI 1497886402 · NPPES record last updated Dec 8, 2008
Key facts
- NPI
- 1497886402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4281T463 (OH)
- Practice address
- 33398 Walker Rd
Ste. B
Avon Lake, OH 44012-1496 - Phone
- (440) 933-3214
- Fax
- (440) 933-4924
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Ohio Eye Consultants, Inc
Practice addresses (Care Compare)
2740 Carnegie Ave
Cleveland, OH 44115-2627
Phone (216) 621-6132
33398 Walker Rd
Suite B
Avon Lake, OH 44012-1496
Phone (440) 933-3214
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.55 of 100
- Quality
- 81.19
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 78.15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728000015 | OH | Practitioner - Optometry | 8325946619 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4281T463 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Optometric Consultants Inc. | Optometrist | Current | Accepting new patients |
| Northern Ohio Eye Consultants Inc | Current |
Accepting new patients | |
| Northern Ohio Eye Consultants Inc | Optometrist | Current |
Accepting new patients |
| DRS Kosunick & Scott Inc | Optometrist | Past | Accepting new patients |
Locations
33398 Walker Rd
Ste B
Avon Lake, OH 44012
Phone (440) 933-3214
6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974
2740 Carnegie Ave
Cleveland, OH 44115
Phone (216) 621-6132
130 W Streetsboro St
Hudson, OH 44236
Phone (330) 653-8500
Interoperability endpoints
- michael.good@direct.revolutionehr.com
- mgood@clevelandeyeclinic.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4281T463 | OH | Yes |
Addresses
Primary practice location
33398 Walker Rd
Ste. B
Avon Lake, OH 44012-1496
Mailing address
33398 Walker Rd
Ste. B
Avon Lake, OH 44012-1496
Phone (440) 933-3214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00176434 | Other | OH | RAILROAD MEDICARE |
| 0911302 | Medicaid | OH |
Other providers in Avon Lake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.