Individual provider Active NPI

Michael R Neal, OD

  • Optometrist
  • Hawley, PA
National Provider Identifier
1720177538
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000404 Issued in PA
Practice address
74 Welwood Ave
Suite 102
Hawley, PA 18428-1577
Phone
(570) 226-1300
Fax
(570) 226-3800
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000404 PA Primary

Addresses

Primary practice location

74 Welwood Ave
Suite 102
Hawley, PA 18428-1577

Mailing address

74 Welwood Ave
Suite 102
Hawley, PA 18428-1577
Phone (570) 226-1300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100608000236 PA Practitioner - Optometry 9739219403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
46.93 of 100Reported as individual
Quality
58.06
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care Associates, PC Optometrist CurrentSince Mar 1, 2010 Accepting new patients

Locations

74 Welwood Ave
Ste 102
Hawley, PA 18428
Phone (570) 226-1300

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1720177538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE",
            "address_2": "SUITE 102",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-226-1300",
            "fax_number": "570-226-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 WELWOOD AVE",
            "address_2": "SUITE 102",
            "city": "HAWLEY",
            "state": "PA",
            "postal_code": "184281577",
            "telephone_number": "570-226-1300",
            "fax_number": "570-226-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawley, PA

Sources for this page

Verify at the official NPI Registry.