MICHAEL C JR. RICHARDSON (OD) – Optometrist, NPI 1790165017

MICHAEL C JR. RICHARDSON (OD) is a healthcare provider. based in Pensacola, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5046 (FL). The NPI Number for MICHAEL C JR. RICHARDSON (OD) is 1790165017

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL C JR. RICHARDSON (OD)
NPI
1790165017
Phone
(850) 476-9236
Address
600 CONNELL DR
Enumeration Date
2 June 2015
Last Update Date
2 June 2015

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8509341954
Graduation Year
2015 (11 years ago)
PAC ID
4082928114
Group Practice PAC ID
1254314669
Professional Enrollment ID
I20150804003833
Address ID
FL325633407GU3577XPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for MICHAEL C JR. RICHARDSON (OD)

  • 600 CONNELL DR

    PENSACOLA, FL 325035017

    Phone: (850) 476-9236

    Fax: (850) 476-9818

    Type: Mailing

  • 6190 N DAVIS HWY

    PENSACOLA, FL 325046969

    Phone: (850) 476-9236

    Fax: (850) 476-9818

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: ABBVIE INC. ($38).

Total Amount

$90

General + Research + Ownership

Payments

5

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2015-08-04

PECOS data refreshed: 2026-05-27

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
I20150804003833IOptometryFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system622599$0
99213Established patient office or other outpatient visit, 20-29 minutes352269$0
92133Imaging of optic nerve176175$0
92134Imaging of retina167138$0
92004New patient complete exam of visual system101101$0
View full utilization report →

Insurance plans in this area (ZIP 32503)

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Provider's Procedures

MICHAEL C JR. RICHARDSON (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient220153
OPTOMETRYFL92083Measurement of field of vision during daylight conditions2323
OPTOMETRYFL92134Diagnostic imaging of retina2828

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: 1254314669View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Can I cross-check MICHAEL C JR. RICHARDSON (OD) using NPI 1790165017?
NPI 1790165017 belongs to MICHAEL C JR. RICHARDSON (OD); compare other details if you need extra assurance.
Would MICHAEL C JR. RICHARDSON (OD) appear as active to a payer?
You can treat MICHAEL C JR. RICHARDSON (OD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MICHAEL C JR. RICHARDSON (OD)'s focus?
For MICHAEL C JR. RICHARDSON (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Where in Florida is MICHAEL C JR. RICHARDSON (OD) registered?
Use Pensacola, Florida as the headline location for MICHAEL C JR. RICHARDSON (OD) here.
When was this NPI issued?
Enumeration for MICHAEL C JR. RICHARDSON (OD) is noted as June 2, 2015 where the registry provides it.

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