Michele Elizabeth McKenna, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003067 Issued in IN

Practice address

967 N McQueen Rd
Chandler, AZ 85225

Phone

(480) 726-3445

NPI assigned

Jun 29, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in AZ

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 College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perfect Focus Eyecare PLLCGroup PAC ID 0446347447, 2 clinicians

Practice addresses (Care Compare)

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.

• Perfect Focus Eyecare, PLLC

  • Optometrist
  • Chandler, AZ
  • NPI 1760671069

  AZ, Optometrist

  Medicare reassignment Care Compare group NPD
• Tom Sowash OD & Associates PC

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  NPD (past)
• Visionworks Inc

  • Eyewear Supplier
  • Gilbert, AZ
  • NPI 1306099643
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1760410609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 N HORNE UNIT 90",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852033675",
            "telephone_number": "480-280-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 N MCQUEEN RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85225",
            "telephone_number": "480-726-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MICHELE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-02-20",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200449680A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ron McInnes, D.M.D.
• William Francis McInnes, DMD
• Brooke McIntyre
• Mark A McKee, RPH
• Jeffrey A McKenna, M.D.
• Jill J McKenzie, MD
• Megan McKibben, LBA
• George Michael McKinley, RPH
• Mallory McKinney, DC
• Kendell Michelle McKinnon, MS, CCC-SLP

• All providers in Chandler, AZ
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.