DR. MICHELE L DOMIANO OD
NPI 1265406730
Optometrist in Old Forge, PA

Active since February 14, 2006PECOS EnrolledAccepts Medicare Assignment
189 N MAIN ST, OLD FORGE, PA 18518(570) 451-2020(570) 451-3083 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michele L Domiano Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHELE L DOMIANO OD (NPI 1265406730) is an individual optometrist in Old Forge, Pennsylvania, licensed in Pennsylvania (OEG000869) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1994).

NPPES Registry Identity

NPI1265406730
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHELE L DOMIANOCredential: OD
Location Address189 N MAIN STOld Forge, PA 18518
Mailing Address189 N Main StOld Forge, PA 18518 · (570) 451-2020 · Fax (570) 451-3083
Fax(570) 451-3083
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1994
Enumeration DateFebruary 14, 2006
Last NPPES UpdateNovember 20, 2008
NPI 1265406730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in PA · OEG000869 Licensed in PA · MD0417368 Licensed in PA · OEO07704T
Definition

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.

189 N MAIN ST, Old Forge, PA 18518

Other Identifiers 6

Medicaid101849890PA
Other1379469PA · Blue Cross/blue Shield
Medicare PIN485639QPUPA
Other814343PA · First Priority Health
Medicare UPINU58527
Medicare NSC5421730001PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michele L Domiano Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961579982
PECOS Enrollment IDI20081114000539
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam of visual field with intermediate testing 92082
An exam of the visual field with intermediate testing is a procedure that checks your peripheral (side) vision. It helps to identify blind spots which could be a sign of eye diseases. This non-invasive test is painless and quick.
133 services130 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
103 services102 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services36 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
73 services23 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
30 services30 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265406730, enumerated as an "individual" on February 14, 2006.

The provider is located at 189 N MAIN ST OLD FORGE, PA 18518 and the phone number is (570) 451-2020.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.