Michael Delatte, O.D.

Key facts

NPI

1508903170

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

5718 (NJ)

Practice address

325 Promenade Blvd
Bridgewater, NJ 08807-3457

Phone

(732) 356-9508

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

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.

• Lo. Co. Vision Consultants LLC Optometrist · Longmont, CO · NPI 1851914824
  Medicare reassignment Care Compare group CO
• Altitude Optometry, P.C. Health Service Clinic/Center · Boulder, CO · NPI 1114154804
  Medicare reassignment NPD CO
• Tammy E. Schuler, LLC Optometrist · Mercerville, NJ · NPI 1871788604
  NPD (past) OPTOMETRIST

Medicare Care Compare profile

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lo. Co. Vision Consultants LLC (4 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508903170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PROMENADE BLVD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "08825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PROMENADE BLVD",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073457",
            "telephone_number": "732-356-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELATTE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "5718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, NJ

• Samantha Davis
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• Macmario Decastro
• Sara Decinque, BCBA
• Mario James Del Valle, DO
• Ryan Delgado
• Nanci Delos Santos
• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Delta Community Supports, Inc.

All providers in Bridgewater, NJ · Optometrist in New Jersey