Individual provider Active NPI

Michael James Merry, OD

  • Optometrist
  • Chico, CA
National Provider Identifier
1669725008
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14475 Issued in CA
Practice address
1700 Bruce Rd
Chico, CA 95928-7941
Phone
(209) 223-2020
Fax
(209) 223-2046
NPI assigned
Oct 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14475 CA Primary

Addresses

Primary practice location

1700 Bruce Rd
Chico, CA 95928-7941

Mailing address

1700 Bruce Rd
Chico, CA 95928-7941
Phone (530) 891-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130225000320 CA Practitioner - Optometry 7517112576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridge Eye Care IncGroup PAC ID 3375724511, 20 clinicians

Practice addresses (Care Compare)

1700 Bruce Rd
Chico, CA 95928-7941
Phone (530) 891-1900

320 H St
Suite 4
Marysville, CA 95901-5834
Phone (530) 743-1873

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14475CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ridge Eye Care Inc Optometrist CurrentSince Aug 1, 2014 Accepting new patients
Rolling Hills Clinic Current Accepting new patients
Dignity Health Past Accepting new patients

Locations

2890 Ventura St
Anderson, CA 96007
Phone (530) 365-6471

1700 Bruce Rd
Chico, CA 95928
Phone (530) 891-1900

2455 Beacon St
Chico, CA 95928
Phone (530) 934-3374

705 East St
Corning, CA 96021
Phone (530) 690-2818

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

320 H St
Ste 4
Marysville, CA 95901
Phone (530) 743-1873

2585 Oro Dam Blvd E
Oroville, CA 95966
Phone (530) 922-2020

1056 Washington St
Red Bluff, CA 96080
Phone (530) 529-1750

Interoperability endpoints

  • Direct secure messaging: michael.merry.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 3

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1669725008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BRUCE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287941",
            "telephone_number": "530-891-1900",
            "fax_number": "503-895-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BRUCE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287941",
            "telephone_number": "209-223-2020",
            "fax_number": "209-223-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRY",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-23",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.