Individual provider Active NPI

Mikayla Marie Cree, OD

  • Optometrist
  • Indiana, PA
National Provider Identifier
1811730294
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004170 Issued in PA
Practice address
241 Rustic Lodge Rd
Indiana, PA 15701-3472
Phone
(724) 463-8882
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004170 PA Primary

Addresses

Primary practice location

241 Rustic Lodge Rd
Indiana, PA 15701-3472

Mailing address

626 S Pine St
Altoona, PA 16602-5787
Phone (814) 505-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240703001947 PA Practitioner - Optometry 0547704306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ms Vision Care LLCGroup PAC ID 4981999240, 5 clinicians
Shirley Eye Care LLCGroup PAC ID 7214250729, 3 clinicians

Practice addresses (Care Compare)

1717 Route 228
Cranberry Township, PA 16066-5312
Phone (724) 778-9010

241 Rustic Lodge Rd
Indiana, PA 15701-3472
Phone (724) 463-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ms Vision Care, LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Shirley Eye Care LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

1717 Route 228
Cranberry Twp, PA 16066
Phone (724) 778-9007

241 Rustic Lodge Rd
Indiana, PA 15701
Phone (724) 463-8882

Organizations & group practices 2

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1811730294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S PINE ST",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025787",
            "telephone_number": "814-505-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 RUSTIC LODGE RD",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013472",
            "telephone_number": "724-463-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREE",
        "first_name": "MIKAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.