Individual provider Active NPI

Michael Jules O'Reilly, O.D.

  • Corneal and Contact Management Optometrist
  • Akron, OH
National Provider Identifier
1639149222
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3192 Issued in OH
Practice address
2887 S Arlington Rd
Vision Center
Akron, OH 44312-4715
Phone
(330) 645-9560
Fax
(330) 645-1302
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3192 OH Primary
Corneal and Contact Management Optometrist 152WC0802X 6311 CA
Optometrist 152W00000X 3192 OH

Addresses

Primary practice location

2887 S Arlington Rd
Vision Center
Akron, OH 44312-4715

Mailing address

PO Box 13416
Akron, OH 44334-8816
Phone (330) 645-9780

Other identifiers 1

IdentifierTypeStateIssuer
0548063MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040402000370 OH Practitioner - Optometry 5496747933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2887 S Arlington Rd
Akron, OH 44312-4715
Phone (330) 645-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3192OHMDOptometrist
6311CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael O'Reilly & Associates LLC Optometrist CurrentSince Feb 1, 2008 Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients
Spectera Past Accepting new patients

Locations

2887 S Arlington Rd
Akron, OH 44312
Phone (330) 645-9557

2711 W Market St
#13416
Fairlawn, OH 44333

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1639149222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13416",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443348816",
            "telephone_number": "330-645-9780",
            "fax_number": "330-645-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2887 S ARLINGTON RD",
            "address_2": "VISION CENTER",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443124715",
            "telephone_number": "330-645-9560",
            "fax_number": "330-645-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'REILLY",
        "first_name": "MICHAEL",
        "middle_name": "JULES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3192",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "6311",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3192",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0548063",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.