DR. MICHAEL MCDERMOTT (NPI# 1275652349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275652349 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MCDERMOTT |
| Credential | O.D. |
| Practice Address |
6131 Ridge Ave Philadelphia PA 19128-2625 |
| Mailing Address |
555 Fulwell Ct Ambler PA 19002-1860 |
| Practice Telephone | 2154826668 |
| Mailing Telephone | 2157939388 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG000997 | PA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649481714 | Michael Mcdermott | Dentist | 304 E River Rd, Brainerd, MN 56401-3560 | 2007-05-24 |
| 1427103381 | Michael Arthur Mcdermott | Optometrist | 109 Town and Country Dr Ste E, Danville, CA 94526-3967 | 2007-01-23 |
| 1538119987 | Michael J Mcdermott | Podiatrist | 14532 John Humphrey Dr, Orland Park, IL 60462 | 2006-05-10 |
| 1750365102 | Michael James Mcdermott | Orthopaedic Surgery | 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | 2005-11-30 |
| 1417202011 | Michael James Mcdermott | Counselor | 152 Highway 7 S, Oxford, MS 38655-5392 | 2012-07-19 |
| 1841512597 | Michael Francis Mcdermott | General Acute Care Hospital | 1900 West Polk Street, Chicago, IL 60612 | 2010-02-23 |
| 1518195189 | Michael Steven Mcdermott | Anesthesiologist Assistant | 25501 Chagrin Blvd, Beachwood, OH 44122-5603 | 2009-06-23 |
| 1154411833 | Michael Mcdermott | Internal Medicine | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-13 |
| 1972695195 | Michael W Mcdermott | Specialist | 8950 N Kendall Dr, Miami, FL 33176-2144 | 2006-09-28 |
| 1457300808 | Michael Mcdermott | Radiology | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2006-05-10 |
| Street Address |
6131 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994923 | Chauncey Eyecare Associates Pllc | Optometrist | 6001 N 5th St Ofc, Philadelphia, PA 19120-1873 | 2019-10-28 |
| 1427604982 | Wendy Lin | Optometrist | 2828 Almond St, Philadelphia, PA 19134-4710 | 2019-08-12 |
| 1174182588 | Harbison Eye Care LLC | Optometrist | 5597 Tulip St Ste B8, Philadelphia, PA 19124-1562 | 2019-06-10 |
| 1346809738 | Steven Judson Moon | Optometrist | 1501 N Broad St Ste 7, Philadelphia, PA 19122-3319 | 2019-06-10 |
| 1639644172 | Om Optical | Optometrist | 1318 Walnut St, Philadelphia, PA 19107-5410 | 2018-10-11 |
| 1770063687 | Brian Johnson | Optometrist | 1200 W Godfrey Avenue, Philadelphia, PA 19141-3323 | 2018-08-20 |
| 1508365784 | C Vision Inc | Optometrist | 1230 Chestnut St, Philadelphia, PA 19107-4849 | 2018-02-02 |
| 1043737943 | Wills Eye Optical Two, LLC | Optometrist | 800 Arch St, Philadelphia, PA 19107-3188 | 2017-08-23 |
| 1255854295 | Jin Gao | Optometrist | 602 N 11th St, Philadelphia, PA 19123-3324 | 2017-07-21 |
| 1043765050 | Chauncey Brown Jr. | Optometrist | 6001 N 5th Street, Office, Philadelphia, PA 19120-1825 | 2016-08-19 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.