Michele M Dorian, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000918 Issued in PA

Practice address

57 Jenners Village Ctr
West Grove, PA 19390-8102

Phone

(610) 869-4200

Fax

(610) 869-2511

NPI assigned

Jul 28, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Elder Eye Care Group, IncGroup PAC ID 3072584507, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HGICCA
• Direct secure messaging: millereyecare5@directaddress.net

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.

• The Elder Eye Care Group, Inc

  • Optometrist
  • Phoenixville, PA
  • NPI 1265469654
  Medicare reassignment Care Compare group NPD
• Negrey Eye Associates

  • Ophthalmology Physician
  • Havertown, PA
  • NPI 1699738781

  Optometrist

  Medicare reassignment NPD
• Eric R. Miller, OD, PC

  • Eyewear Supplier
  • West Grove, PA
  • NPI 1407862840
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1710987151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CTR",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908102",
            "telephone_number": "610-869-4200",
            "fax_number": "610-869-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 JENNERS VILLAGE CTR",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908102",
            "telephone_number": "610-869-4200",
            "fax_number": "610-869-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIAN",
        "first_name": "MICHELE",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001453664",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014536640003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Damato, M.D.
• Karen Lynne Darrell, O.D.
• Jennifer R Denniston, MPT
• Brandon Deshields
• Mary Dodson, CRNP
• Timothy Joseph Downey, M.D.
• Molly McHale Dreher, DPT
• Deborah Bross Drop, MD
• Cindy Ann Duckworth, OTR/L
• Kevin Michael Dunn, OTR/L

• Optometrist in West Grove, PA
• Providers in West Grove, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.