Michael Glenn Madison, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2939 Issued in FL

Practice address

914 Park Ave
Marco Island, FL 34145-2751

Phone

(239) 394-3068

NPI assigned

Aug 17, 2006

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 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

Specialty

Optometry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cape Coral Eye Center PAGroup PAC ID 5496774515, 18 clinicians

Michael G. Madison OD PAGroup PAC ID 9335393727, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Cape Coral Eye Center, P.a.

  • Optometrist
  • Cape Coral, FL
  • NPI 1427067438
  Medicare reassignment Care Compare group NPD
• Michael G. Madison OD PA

  • Optometrist
  • Marco Island, FL
  • NPI 1548508039
  Medicare reassignment Care Compare group
• Cape Coral Eye Center, P.a.

  • Ophthalmologic Surgery Clinic/Center
  • Cape Coral, FL
  • NPI 1376553925
  NPD

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1578676805",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "MICHAEL",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jazmin Lopez
• Perla Lopez
• Zoe Christine Lozano
• Mark Anthony Luafau
• Ericka D Macias
• Crystal Vanessa Magana
• Fikry Makar
• Mahsa Mansurabadi
• Marco Dental Care, PA
• Marco Island Mattress Company LLC

• 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 May 2, 2011; 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.