Individual provider Active NPI

Michelle M Toledo, LDO

  • Optician
  • Brooksville, FL
National Provider Identifier
1801419676
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO7130 Issued in FL
Practice address
7631 Horse Lake Rd
Brooksville, FL 34601-9021
Phone
(352) 796-0340
Fax
(352) 777-4917
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO7130 FL Primary

Addresses

Primary practice location

7631 Horse Lake Rd
Brooksville, FL 34601-9021

Mailing address

7631 Horse Lake Rd
Brooksville, FL 34601-9021
Phone (352) 796-0340

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brooksvilleoptical@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO7130FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
American Optometric Center Optician Current Accepting new patients
American Optometric Center CurrentSince Feb 2, 2025 Accepting new patients
American Optometric Center Corp PastSince May 31, 2020 Accepting new patients

Locations

7631 Horse Lake Rd
Brooksville, FL 34601
Phone (352) 796-0340

Organizations & group practices 3

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1801419676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 HORSE LAKE RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346019021",
            "telephone_number": "352-796-0340",
            "fax_number": "352-777-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7631 HORSE LAKE RD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346019021",
            "telephone_number": "352-796-0340",
            "fax_number": "352-777-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO7130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooksvilleoptical@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7631 Horse Lake Rd",
            "city": "Brooksville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346019021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.