Michael Delatte, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5718 Issued in NJ

Practice address

325 Promenade Blvd
Bridgewater, NJ 08807-3457

Phone

(732) 356-9508

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

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 LLCGroup PAC ID 8820413461, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lo. Co. Vision Consultants LLC

  • Optometrist
  • Longmont, CO
  • NPI 1851914824
  Medicare reassignment Care Compare group
• Altitude Optometry, P.C.

  • Health Service Clinic/Center
  • Boulder, CO
  • NPI 1114154804
  Medicare reassignment NPD
• Tammy E. Schuler, LLC

  • Optometrist
  • Mercerville, NJ
  • NPI 1871788604
  NPD (past)

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

{
    "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": []
}

• Samantha Davis
• Melissa Day, PHARMD
• 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.

• Optometrist in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.