MICHELLE MARIE ANTONUCCI OD
NPI 1841912623
Optometrist in Los Angeles, CA
About Michelle Marie Antonucci Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE MARIE ANTONUCCI OD (NPI 1841912623) is an individual optometrist in Los Angeles, California, licensed in California (35196) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Michelle Marie Antonucci 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michelle Antonucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 123 clinicians in this Medicare group
Renton, WA 98057
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michelle Antonucci's NPI number?
The NPI number for Michelle Antonucci is 1841912623. It was assigned to this individual provider in the NPPES registry on September 19, 2022.
Where is Michelle Antonucci located?
Michelle Antonucci practices at 300 Stein Plaza, Los Angeles, CA 90095. The listed phone number is (310) 267-5577.
What is Michelle Antonucci's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michelle Antonucci enrolled in Medicare?
Yes. Michelle Antonucci is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Michelle Antonucci's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Antonucci reassigns Medicare benefits to 2 organizations: Jules Stein Eye Institute Medical Group (Los Angeles, CA) and Kaiser Foundation Health Plan Of Washington (Renton, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Antonucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Michelle Antonucci was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Michelle Marie Antonucci, OD · NPI 1841912623
Optometrist provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since September 19, 2022.
## Identity
- **NPI:** 1841912623 (Entity type: Individual)
- **Enumerated:** September 19, 2022
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 35196 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 STEIN PLAZA, Los Angeles, CA 90095
- **Phone:** (310) 267-5577
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Jules Stein Eye Institute Medical Group (NPI 1326006966, Los Angeles, CA); Kaiser Foundation Health Plan Of Washington (NPI 1124264577, Renton, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1841912623) · Data from the CMS NPPES public registry.