Individual provider Active NPI

Michael D Chesen, O.D.

  • Optometrist
  • Miramar, FL
National Provider Identifier
1619076692
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2746 Issued in FL
Practice address
2909 SW 160 Ave
Miramar, FL 33027-4212
Phone
(954) 437-9733
Fax
(954) 432-6116
NPI assigned
Sep 22, 2006
Last updated
Dec 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2746 FL Primary

Addresses

Primary practice location

2909 SW 160 Ave
Miramar, FL 33027-4212

Mailing address

2909 SW 160 Ave
Miramar, FL 33027-4212
Phone (954) 437-9733

Other identifiers 1

IdentifierTypeStateIssuer
018603900MedicaidFL

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
I20070522000085 FL Practitioner - Optometry 1850498130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2909 SW 160TH Ave
Miramar, FL 33027-4212
Phone (954) 437-9733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Relief in Sight PA Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1619076692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 SW 160 AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274212",
            "telephone_number": "954-437-9733",
            "fax_number": "954-432-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 SW 160 AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274212",
            "telephone_number": "954-437-9733",
            "fax_number": "954-432-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESEN",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018603900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.