Individual provider Active NPI

Michael C McGrath, O.D.

  • Optometrist
  • Farmington, MI
National Provider Identifier
1841398526
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002703 Issued in MI
Practice address
31553 W 10 Mile Rd
Farmington, MI 48336-2503
Phone
(248) 478-2280
Fax
(248) 478-9825
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002703 MI Primary

Addresses

Primary practice location

31553 W 10 Mile Rd
Farmington, MI 48336-2503

Mailing address

31553 W 10 Mile Rd
Farmington, MI 48336-2503
Phone (248) 478-2280

Other identifiers 1

IdentifierTypeStateIssuer
5087669MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120625000242 MI Practitioner - Optometry 4981710381 Practice locations: Farmington, MI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31553 W 10 Mile Rd
Farmington, MI 48336-2503
Phone (248) 478-2280

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002703MIMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1841398526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31553 W 10 MILE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483362503",
            "telephone_number": "248-478-2280",
            "fax_number": "248-478-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31553 W 10 MILE RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483362503",
            "telephone_number": "248-478-2280",
            "fax_number": "248-478-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5087669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MI

Sources for this page

Verify at the official NPI Registry.