Michelle Hanley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4931 Issued in FL

Practice address

19475 Boggy Creek Rd Ste B
Orlando, FL 32832-7000

Phone

(954) 850-3993

NPI assigned

Jul 15, 2014

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 1

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Innovation Eye Care LLC

  • Optometrist
  • Orlando, FL
  • NPI 1285231423
  Medicare reassignment NPD
• Florida Eye Clinic P a

  • Ophthalmology Physician
  • Altamonte Springs, FL
  • NPI 1417921180

  Optometrist

  NPD (past)
• Jimmy Nguyen OD PA

  • Optometrist
  • Kissimmee, FL
  • NPI 1821394891
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1629485263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19475 BOGGY CREEK RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327000",
            "telephone_number": "407-440-4589",
            "fax_number": "407-440-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19475 BOGGY CREEK RD STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328327000",
            "telephone_number": "954-850-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014104900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Hankins, PA
• Ashley Hanks
• Heidi L Hanks
• Hanley Pain and Rehabilitation Center Inc
• Allison W Hanley, M.D.
• Sara Morris Hanly, APRN
• Hann Chiropractic, LLC
• Clayton S Hann, MD
• Jonathan Hann, D.C.
• Andrew Hanna, M.D.

• Optometrist in Orlando, FL
• Providers in Orlando, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.