Clifford Michaelson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

60116 Issued in MA

Practice address

75 Riverside Ave
Suite 3
Medford, MA 02155-4600

Phone

(781) 756-7273

Fax

(781) 756-7274

NPI assigned

Jul 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

New York University School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andover Eye Associates IncGroup PAC ID 4486627866, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmichaelson@andovereye.intellechartdirect.net
• Direct secure messaging: michaelson.clifford1@elincdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Andover Eye Associates, Inc

  • Ophthalmology Physician
  • Andover, MA
  • NPI 1588678551
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861427320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RIVERSIDE AVE",
            "address_2": "SUITE 3",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554600",
            "telephone_number": "781-756-7273",
            "fax_number": "781-756-7274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RIVERSIDE AVE",
            "address_2": "SUITE 3",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554600",
            "telephone_number": "781-756-7273",
            "fax_number": "781-756-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELSON",
        "first_name": "CLIFFORD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "60116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038700",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Messina, N.P.
• Marie-Therese Metallidis
• MH Health Care Services, PC
• Michael S. Olstein MD PC
• Michael Zack MD PC
• Microbiome Health Research Institute (OpenBiome)
• Elinor M Milder, MD
• Nicholas Edward Miller, DMD
• Erin Milton, PT, DPT, NCS
• Mohammed E Mobasherat, DMD MSCD

• Ophthalmology Physician in Medford, MA
• Providers in Medford, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.