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Active NPI 1801881578 Individual Practitioner Male Practitioner

Dr. Michael Dale Mortimer , OD

Optometrist • Olean, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mortimer, OD is a registered healthcare professional specializing in Optometrist in Olean, NY. Practice services are available at 130 S UNION ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 S Union St
Ste. 8

Olean, NY 147609807

Telephone 7163728644
Fax 7163734257
Associated Practice Facility / Clinic
🏢 Health Systems Physician Pc Facility NPI 1902194368

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Olean, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 23.8 Yrs
Regional Practice Density
5 Specialists

Practicing in Olean, NY (3674 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
11 11 $127.67 $123.25

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NY 3906

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00606964 (NY)
Commercial Insurance / Payer ID Eyemed
NY3906 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Michele Simon , AuD, FAAA

Audiologist-Hearing Aid Fitter

NPI 1376571356

Doctor of Audiology, FAAA

NPI 1649963729

Doctor of Optometry

Katlin Sikes , FNP-BC

Nurse Practitioner - Family

NPI 1952120578

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 21, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 21, 2009

Registered at 130 S UNION ST, STE. 8, OLEAN, NY 147609807 (Tel: 7163728644)

📍
Updated Business Mailing Address January 21, 2009

Registered at 130 S UNION ST, STE. 8, OLEAN, NY 147609807 (Tel: 7163728644)

👤
Provider Name / Credentials Updated January 21, 2009

Recorded as MICHAEL MORTIMER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 21, 2009

Optometrist (License #3906 in NY)

🟢
Initial NPI Registration & Enumeration September 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801881578
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2005
Last Update: January 21, 2009
Sole Proprietor: No

Mailing Address

130 S Union St, Ste. 8

Olean, NY 147609807

Phone: 7163728644

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.