Elizabeth Muckley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4833 Issued in OH

Practice address

2013 State Route 59
Kent, OH 44240-4113

Phone

(330) 678-0201

Fax

(330) 678-4272

NPI assigned

Jul 26, 2005

Last updated

Dec 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Merit-based Incentive Payment System (MIPS)

Final score

85.48 of 100Reported as group

Quality

77.53

Promoting interoperability

96

Improvement activities

40

Cost

77.39

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: emuckley36973@ehrdirect.uhhospitals.org

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.

• Northeast Ohio Eye Surgeons, Inc.

  • Optometrist
  • Kent, OH
  • NPI 1932208733
  Medicare reassignment NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Stow, OH
  • NPI 1073693644

  Optometrist

  NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1093316671

  Optometrist

  NPD

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1568462174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201",
            "fax_number": "330-678-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201",
            "fax_number": "330-678-4272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKLEY",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0713339",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0942140001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Moran
• Melodie Morgan-Minott, MD
• Reanna Morris
• Heather Moss, LPN
• Jazmine La-Sha' Marie Moxley
• Sarah L Mullen, LSW
• Lani Michel Murdock
• Anne Marie Murphy, OTR/L
• Mackenzie Christina Murphy
• Sidney Monique Myers

• Optometrist in Kent, OH
• Providers in Kent, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; 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.