Individual provider Active NPI

Michelle Marie Meyer, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1841625399
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1404 Issued in NE
Practice address
12279 W Center Rd
Omaha, NE 68144-3957
Phone
(402) 333-7772
Fax
(402) 333-9752
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1404 NE Primary

Addresses

Primary practice location

12279 W Center Rd
Omaha, NE 68144-3957

Mailing address

12279 W Center Rd
Omaha, NE 68144-3957
Phone (402) 333-7772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20140123001280 NE Practitioner - Optometry 8527296326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meyer EyecareGroup PAC ID 6103049333, 2 clinicians

Practice addresses (Care Compare)

12279 W Ctr Rd
Family Eyecare Center
Omaha, NE 68144-3957
Phone (402) 333-7772

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1404NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Cener Optometrist PastSince Feb 1, 2020 Accepting new patients

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1841625399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12279 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443957",
            "telephone_number": "402-333-7772",
            "fax_number": "402-333-9752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12279 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443957",
            "telephone_number": "402-333-7772",
            "fax_number": "402-333-9752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.