Michael David Lenhardt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 13041 TPG Issued in CA

Practice address

501 N Cornell Ave
Fullerton, CA 92831-2744

Phone

(714) 525-3350

Fax

(714) 525-1310

NPI assigned

Aug 5, 2006

Sex

Male

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 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

Specialty

Optometry

Education

Southern California College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C Troy Allred OD IncGroup PAC ID 8325299043, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• C. Troy Allred, O.D., Inc.

  • Optometrist
  • Fullerton, CA
  • NPI 1710173844
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1710996228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-525-3350",
            "fax_number": "714-525-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CORNELL AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312744",
            "telephone_number": "714-525-3350",
            "fax_number": "714-525-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENHARDT",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13041 TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS OF CA",
            "identifier": "213323501",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ67199Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kanani Elizabeth Leiataua
• Corey M Lejeune, DPM
• Judith Grant Lemaster, PH.D.
• Joshua Joseph Lembesis
• Lenhardt Optometric Group Inc.
• Scott Michael Lennon
• Leo W Kwan MD a Medical Corp
• Jacqueline Leon
• Lauren Leon
• Kiana Rae Lyn Leonard

• Optometrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.