Healthcare Provider Details

I. General information

NPI: 1033103999
Provider Name (Legal Business Name): MICHAEL J CAUSEY O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 09/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9832 LITTLE RD
NEW PORT RICHEY FL
34654-3470
US

IV. Provider business mailing address

9832 LITTLE ROAD
NEW PORT RICHEY FL
34654
US

V. Phone/Fax

Practice location:
  • Phone: 727-868-9898
  • Fax: 727-862-4436
Mailing address:
  • Phone: 727-868-9898
  • Fax: 727-862-4436

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC2499
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: