Michael N Mandese, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP0003023 Issued in FL

Practice address

175 E Nasa Blvd Ste 100
Melbourne, FL 32901-1998

Phone

(321) 805-3700

Fax

(321) 392-6508

NPI assigned

Nov 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Eye Consultants, LLCGroup PAC ID 8325420664, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score

93.33 of 100Reported as individual

Quality

86.67

Improvement activities

40

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.

• Atlantic Eye Consultants, LLC

  • Glaucoma Specialist (Ophthalmology) Physician
  • Melbourne, FL
  • NPI 1013665868
  Medicare reassignment Care Compare group
• Eyewearllc

  • Eyewear Supplier
  • Melbourne, FL
  • NPI 1518054956
  NPD (past) Authorized official
• Atlantic Wellness

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1952298747
  NPD
• Atlantic Retina Consultants

  • Retina Specialist (Ophthalmology) Physician
  • Melbourne, FL
  • NPI 1649928490
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1720079577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E NASA BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011998",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E NASA BLVD STE 100",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011998",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Woods Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329553262",
            "country_code": "US",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5055 Babcock St NE Ste 6",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054673",
            "country_code": "US",
            "telephone_number": "321-805-3700",
            "fax_number": "321-392-6508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDESE",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0003023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Mamey, SP
• Gabriele Elisabeth Mamone, M.ED, ED.S.
• Joseph Robert Manarino
• Mancala Holdings, LLC
• Sharon Ann Mandaville, BS
• Chandra Mangra, MD
• Laura Manilli
• Debra B Mann, PTA
• Nancy A Mann, CRNA
• Shivani Sikiu Prashad Mann, DMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.