Active NPI
Michelle M Toledo, LDO
- Optician
- Brooksville, FL
National Provider Identifier
1801419676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO7130
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO7130 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Optometric Center | Optician | Current | Accepting new patients |
| American Optometric Center | Current | Accepting new patients | |
| American Optometric Center Corp | Past | 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.
-
- Eyewear Supplier
- Brooksville, FL
- NPI 1235942228
-
- Eyewear Supplier
- Brooksville, FL
- NPI 1578004354
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.