Michael Richard Procaccini, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0974 Issued in NH

Practice address

370 Daniel Webster Hwy
Merrimack, NH 03054-4152

Phone

(603) 424-0404

Fax

(603) 424-1147

NPI assigned

Jun 5, 2018

Last updated

Mar 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mich Procaccini Other name

Medicare fee-for-service enrollment

Enrolled in NH

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

New England College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of New Hampshire PLLCGroup PAC ID 2961810981, 31 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.

• Myeyedr Optometry of New Hampshire, PLLC

  dba MyEyeDr.

  • Optometrist
  • Milford, NH
  • NPI 1730764754
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Concord, NH
  • NPI 1174482194
  NPD
• Myeyedr Optometry of New Hampshire, PLLC

  dba MyEyeDr.

  • Optometrist
  • Hampton, NH
  • NPI 1366027385
  NPD
• Enloe Medical Center

  dba Enloe Cardiology Services

  • Cardiovascular Disease Physician
  • Chico, CA
  • NPI 1720099328
  NPD (past)

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1558853606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DANIEL WEBSTER HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544152",
            "telephone_number": "603-424-0404",
            "fax_number": "603-424-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCACCINI",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-05",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICH",
            "last_name": "PROCACCINI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Logan S Pollard
• Yelena Popkova, D.D.S.
• Premier Care Dentistry of New Hampshire
• Premise Health of Connecticut Medical PC (Fidelity Health & Wellness Center)
• Premise Health of Connecticut Medical, P.C. (BAE Systems Merrimack NH)
• Tara J Pucci, DPT
• Quest Diagnostics Incorporated
• Thomas John Radic, PT, DPT
• Arturo Ramirez Fernandez, MS, PSYD
• Annmarie Henson Reebenacker, M.ED.

• Optometrist in Merrimack, NH
• Providers in Merrimack, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.