Individual provider Active NPI

Michelle Renee Townsend-Mullin, O.D.

  • Optometrist
  • Langhorne, PA
National Provider Identifier
1851344972
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000357 Issued in PA
Practice address
409 Executive Dr
Langhorne, PA 19047-8003
Phone
(215) 860-3400
Fax
(215) 860-8779
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000357 PA Primary
Optometrist 152W00000X 27TO00120700 NJ
Optometrist 152W00000X 27OA00580700 NJ

Addresses

Primary practice location

409 Executive Dr
Langhorne, PA 19047-8003

Mailing address

409 Executive Dr
Langhorne, PA 19047-8003
Phone (215) 860-3400

Other identifiers 6

IdentifierTypeStateIssuer
233004476OtherDEVON
T0895511OtherPABC/BS
2422650OtherAETNA
410046373OtherPARAILROAD MEDICARE
2821078001OtherPACIGNA
P2784794OtherOXFORD

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
I20110603000047 PA Practitioner - Optometry 6305843715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newtown Laser and Eye InstituteGroup PAC ID 0042284267, 2 clinicians

Practice addresses (Care Compare)

409 Executive Dr
Langhorne, PA 19047-8003
Phone (215) 860-3400

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1851344972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 EXECUTIVE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478003",
            "telephone_number": "215-860-3400",
            "fax_number": "215-860-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 EXECUTIVE DR",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478003",
            "telephone_number": "215-860-3400",
            "fax_number": "215-860-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND-MULLIN",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000357",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27TO00120700",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00580700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "233004476",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "T0895511",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2422650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046373",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2821078001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2784794",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Langhorne, PA

Sources for this page

Verify at the official NPI Registry.