MEDICARE: MICHAEL J. CAUSEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518167691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL J. CAUSEY

Provider Business Mailing Address
First Line	:	9948 GROVE DR
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3403
Country	:	US
Telephone Number	:	727-868-9898
Fax Number	:	727-862-4436

Provider Business Practice Location Address
First Line	:	9832 LITTLE RD
Second Line	:	SUITE 1
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34654-3470
Country	:	US
Telephone Number	:	727-868-9898
Fax Number	:	727-862-4436

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. MICHAEL J CAUSEY
Credential	:	O.D.
Telephone Number	:	727-868-9898

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	08/19/2014

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