Michael G. Madison OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2939 Issued in FL

Legal business name

MICHAEL G. MADISON OD PA

Doing business as

Madison Eye Associates

Practice address

914 Park Ave
Marco Island, FL 34145-2751

Phone

(239) 394-3068

Fax

(239) 394-1078

NPI assigned

Jan 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Micheal G Madison, OD

Title

Owner

Phone

(239) 394-3068

Specialties & licenses 1

Addresses

Other names 1

• Madison Eye Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: mmadison@madisoneyeassociates.eyefinity-direct.com

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul A Kuck, MD

  • Ophthalmology Physician
  • Marco Island, FL
  • NPI 1801892062
  Medicare reassignment Care Compare group NPD
• Michael Glenn Madison, O.D.

  • Optometrist
  • Marco Island, FL
  • NPI 1578676805
  Medicare reassignment Care Compare group
• Emma Kate Huerter, O.D.

  • Optometrist
  • Marco Island, FL
  • NPI 1902735111
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1548508039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 PARK AVE",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452751",
            "telephone_number": "239-394-3068",
            "fax_number": "239-394-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 PARK AVE",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341452751",
            "telephone_number": "239-394-3068",
            "fax_number": "239-394-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. MADISON OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-394-3068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Shoppe of Marco
• Justin Melia, DC
• Marie Mendoza
• Mary Beth Meyer, RPH
• Michael B Schulman, Dcpa
• Millennium Physician Group LLC
• Millennium Physician Group LLC
• Mitchell Shaw P a
• Amari Mitchell
• Rigoberto Molina

• Optometrist in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.