DR. VIYADA JOY MICHELSEN (O.D.) – Optometrist, NPI 1740398296

DR. VIYADA JOY MICHELSEN (O.D.) is a healthcare provider. based in Livermore, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 13138 (CA). The NPI Number for DR. VIYADA JOY MICHELSEN (O.D.) is 1740398296

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. VIYADA JOY MICHELSEN (O.D.)
NPI
1740398296
Phone
(925) 449-8188
Address
2580 OLD 1ST ST
Enumeration Date
25 August 2006
Last Update Date
11 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
7076511000
Graduation Year
2006 (20 years ago)
PAC ID
3971693003
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20071213000259
Address ID
CA945892441VA975XXDRXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,935 OPTOMETRY in CA

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Provider Addresses for DR. VIYADA JOY MICHELSEN (O.D.)

  • 1st Street, Livermore, Humboldt County, Iowa, 50558, United States

    LIVERMORE, CA 945502055

    Phone: (925) 449-8188

    Fax: (925) 449-1818

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,115.

Total Amount is formed as General ($1,115) + Research ($0) + Ownership ($0) = $1,115.

Last reported payment date: 2024-10-06 • Largest payer in this snapshot: CooperVision Inc. ($650).

Total Amount

$1,115

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071213000259IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94550)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

Can I verify DR. VIYADA JOY MICHELSEN (O.D.) with an NPI only?
You can start verification with NPI 1740398296 for DR. VIYADA JOY MICHELSEN (O.D.), then check state licensing separately.
Is DR. VIYADA JOY MICHELSEN (O.D.) still practicing?
DR. VIYADA JOY MICHELSEN (O.D.) is currently listed as active in the public NPI registry.
What is DR. VIYADA JOY MICHELSEN (O.D.)'s specialty?
The listing groups DR. VIYADA JOY MICHELSEN (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. VIYADA JOY MICHELSEN (O.D.) list a practice location?
Patients near Livermore, California may find DR. VIYADA JOY MICHELSEN (O.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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