Michael Jeffrey Proiette, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA9339T Issued in CA

Practice address

61 Lincoln Blvd Ste a
Lincoln, CA 95648-6310

Phone

(916) 408-0103

Fax

(916) 408-0117

NPI assigned

Feb 26, 2007

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 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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

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.

• Michael J. Proiette O.D., Inc.

  • Optometrist
  • Lincoln, CA
  • NPI 1407002942
  Medicare reassignment NPD Authorized official
• K and a Optometry Inc

  dba Stanford Ranch Optometry

  • Optometrist
  • Rocklin, CA
  • NPI 1952726432
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1750417747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 LINCOLN BLVD STE A",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486310",
            "telephone_number": "916-408-0103",
            "fax_number": "916-408-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 LINCOLN BLVD STE A",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956486310",
            "telephone_number": "916-408-0103",
            "fax_number": "916-408-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROIETTE",
        "first_name": "MICHAEL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA9339T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Phen, D.D,S
• Jordan Phen, DDS
• Mark David Porco, D.D.S.
• Roxanne Dionisio Portugal, OTRL
• Ashley Jean Potts, BSW
• Lindsay T Pryde
• Melody Orene Quenzer, OD
• Phillip Wayne Radford
• Sepideh Rahmani, DDS
• Rai Care Centers of Northern California II, LLC (Rai - Sterling Pkwy - Lincoln)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.