Louis John Michaelos, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME8747 Issued in FL

Practice address

1030 W Bay Dr
Largo, FL 33770-3225

Phone

(727) 585-2200

Fax

(727) 584-9239

NPI assigned

Apr 13, 2006

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 FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• St Michaels Eye & Laser Institute Inc

  • Specialist
  • Largo, FL
  • NPI 1598726325
  Medicare reassignment

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1902860455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703225",
            "telephone_number": "727-585-2200",
            "fax_number": "727-584-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703225",
            "telephone_number": "727-585-2200",
            "fax_number": "727-584-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELOS",
        "first_name": "LOUIS",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME8747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261116300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Demner, DPM, Inc.
• Michael K Roberts DC PA
• John Ehab Michael, DO
• John L. Michaelos, M.D.
• Louis John Michaelos, D.O
• Michaels Pharmacy
• Laura Michaels, PA
• Michele Mason, LLC
• Jaimie Louise Mickey, MD
• Mid County Dental Associates

• Ophthalmology Physician in Largo, FL
• Providers in Largo, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.