Provider Demographics
NPI:1518167691
Name:MICHAEL J. CAUSEY
Entity Type:Organization
Organization Name:MICHAEL J. CAUSEY
Other - Org Name:CAUSEY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAUSEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:727-868-9898
Mailing Address - Street 1:9948 GROVE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-3403
Mailing Address - Country:US
Mailing Address - Phone:727-868-9898
Mailing Address - Fax:727-862-4436
Practice Address - Street 1:9832 LITTLE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-3470
Practice Address - Country:US
Practice Address - Phone:727-868-9898
Practice Address - Fax:727-862-4436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078848101Medicaid
FL20328YMedicare PIN
FL5322320001Medicare NSC
FL078848101Medicaid
FLK5508Medicare PIN