Michael A Mackie, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3022 Issued in FL

Practice address

2003 Cortez Rd W
Bradenton, FL 34207-1241

Phone

(941) 756-2020

Fax

(941) 756-4486

NPI assigned

Aug 18, 2005

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Center IncGroup PAC ID 8325093677, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Eye Center Inc

  • Optometrist
  • Bradenton, FL
  • NPI 1063589604
  Medicare reassignment Care Compare group NPD
• Eye Center Inc

  • Optometrist
  • Parrish, FL
  • NPI 1972670180
  NPD Authorized official
• Eye Center Inc

  • Optometrist
  • Bradenton, FL
  • NPI 1518928217
  NPD (past) Authorized official

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1972595643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071241",
            "telephone_number": "941-756-2020",
            "fax_number": "941-756-4486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342071241",
            "telephone_number": "941-756-2020",
            "fax_number": "941-756-4486"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8312 US Highway 301 N Ste 105",
            "address_purpose": "LOCATION",
            "city": "Parrish",
            "state": "FL",
            "postal_code": "342198725",
            "country_code": "US",
            "telephone_number": "941-776-5770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE ID",
            "identifier": "20737Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Rosa Macias Duque
• Dawn Rae Mack
• Lashanti Anese Mackey, LPN
• Rachel Marie Mackey, OTR
• Susan Marie Mackey, LMHC
• Sarah Saputo Mackie, OD
• Marcy R Macpherson, MSW
• Macula and Diabetic Eye Center LLC
• Amanda Maddrey, DO
• David Morgan Maddy, DMD

• Optometrist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.