Individual provider Active NPI

Michelle E. Collier, O.D.

  • Optometrist
  • Wellington, FL
National Provider Identifier
1538302203
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3223 Issued in FL
Practice address
2205 State Road 7
Suite 400
Wellington, FL 33414
Phone
(561) 792-3387
Fax
(561) 792-8055
NPI assigned
Apr 10, 2009
Last updated
Apr 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3223 FL Primary

Addresses

Primary practice location

2205 State Road 7
Suite 400
Wellington, FL 33414

Mailing address

2205 State Road 7
Suite 400
Wellington, FL 33414
Phone (561) 792-3387

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
I20160928000694 FL Practitioner - Optometry 1850688276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC3223FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Goldman, O.D., P.a. Optometrist CurrentSince May 15, 2016 Accepting new patients
Luxottica of America Inc PastSince May 15, 2016 Accepting new patients
D Goldman O. D. LLC Optometrist Past Accepting new patients

Locations

2205 S State Road 7
Ste 400
Wellington, FL 33414
Phone (561) 792-3123

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1538302203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 STATE ROAD 7",
            "address_2": "SUITE 400",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-792-3387",
            "fax_number": "561-792-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 STATE ROAD 7",
            "address_2": "SUITE 400",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-792-3387",
            "fax_number": "561-792-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "MICHELLE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.