Jeffrey P Michaud, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0645 Issued in NH

Practice address

24 Main Street
Goffstown, NH 03045-1708

Phone

(603) 497-3622

Fax

(603) 497-5325

NPI assigned

Oct 23, 2006

Sex

Male

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 NH

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

Illinois College of Optometry at Chicago, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1811070642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 MAIN STREET",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030451708",
            "telephone_number": "603-497-3622",
            "fax_number": "603-497-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAIN STREET",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "030451708",
            "telephone_number": "603-497-3622",
            "fax_number": "603-497-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11364276",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philip Mansour, DMD
• Mary Grace Manter
• Mark L. Collins (Goffstown Physical Therapy)
• Megan McLean, DPT
• Michelle Ann Merchant, MS CCC-SLP
• Norman G Michaud, O.D.
• Stephen J. Michaud, MD
• Michael David Miller, MD
• Lori A Monahan
• More Cowbell LLC

• Optometrist in Goffstown, NH
• Providers in Goffstown, NH by specialty
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.