Individual provider Active NPI

Michele Lago Hanley, O.D.

  • Optometrist
  • Irwin, PA
National Provider Identifier
1891723508
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG 000394 Issued in PA
Practice address
511 Main St
Irwin, PA 15642-3404
Phone
(724) 863-3116
Fax
(724) 863-2489
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG 000394 PA Primary

Addresses

Primary practice location

511 Main St
Irwin, PA 15642-3404

Mailing address

511 Main St
Irwin, PA 15642-3404
Phone (724) 863-3116

Other identifiers 1

IdentifierTypeStateIssuer
001672482-002MedicaidPA

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
I20031215000219 PA Practitioner - Optometry 2668379108 Receives reassigned benefits from 1 practitioner
Practice locations: Irwin, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

511 Main St
Irwin, PA 15642-3404
Phone (724) 863-3116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery70

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG 000394PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Irwin Eye Care LLC CurrentSince Nov 10, 2024 Accepting new patients
Friedberg, Rosenbloom & Lebovitz, P.C. Optometrist Past Accepting new patients

Locations

511 Main St
Irwin, PA 15642
Phone (724) 863-3116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1891723508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423404",
            "telephone_number": "724-863-3116",
            "fax_number": "724-863-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MAIN ST",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423404",
            "telephone_number": "724-863-3116",
            "fax_number": "724-863-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "MICHELE",
        "middle_name": "LAGO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG 000394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001672482-002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irwin, PA

Sources for this page

Verify at the official NPI Registry.