MICHELLE MARIE ANTONUCCI OD
NPI 1841912623
Optometrist in Los Angeles, CA

Q: 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.

Q: What is Michelle Antonucci's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment

300 STEIN PLAZA, LOS ANGELES, CA 90095(310) 267-5577 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2025, Jul 1, 2025, Mar 5, 2024 and 1 more (4 updates tracked since 2022).

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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

NPI1841912623

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMICHELLE MARIE ANTONUCCICredential: OD

Location Address300 STEIN PLAZALos Angeles, CA 90095

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 267-5577

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 19, 2022

Last NPPES UpdateAugust 7, 20254 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1841912623 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 CA · 35196✔ Licensed in WA · OD61480506

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.

300 STEIN PLAZA, Los Angeles, CA 90095

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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

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.

PECOS PAC ID1557701596

PECOS Enrollment IDI20250612003881

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.

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.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

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.

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.

JORGE EDUARDO SALCEDO SIFUENTES

Student in an Organized Health Care Education/Training Program

300 STEIN PLAZA, SUITE 420
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5111

JOHN DEVERE BARTLETT MD

Ophthalmology

300 STEIN PLAZA
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5000

LINDA HAE HWANG OD

Optometrist

300 STEIN PLAZA
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5000

MR. MARK EMMANUEL LAO LANDIG

Optometrist

300 STEIN PLAZA
LOS ANGELES, CA 90095

Los Angeles County (310) 825-5000

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.

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 11 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.