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NPI Code Detail

MEDICARE: DR. MICHAEL J CAUSEY O.D.

MEDICARE:  DR. MICHAEL J CAUSEY  O.D.
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
1152W00000XOptometristOPC2499FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5410019845OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
16599521OTHERFLGHI
27935776OTHERFLCIGNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
420328OTHERFLBCBS
6208573OTHERFLAVMED
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033103999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J CAUSEY O.D.
Provider Business Mailing Address
First Line : 9832 LITTLE ROAD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34654
Country : US
Telephone Number : 727-868-9898
Fax Number : 727-862-4436
Provider Business Practice Location Address
First Line : 9832 LITTLE RD
Second Line :
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 09/06/2011

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