Active NPIIndividual provider

Mikaela L Callahan, OD

Optometrist in Bradenton, Florida

NPI Number1972397222
Practice location
5520 Fl-64 #101, Bradenton, FL 34208
Fax
—
Last updated
September 25, 2025

Mikaela Liem Callahan is an Optometrist based in Bradenton, FL. Mikaela Liem Callahan practices in Bradenton, FL and has the professional credentials of OD. The NPI Number for Mikaela Liem Callahan is 1972397222 and holds a License No. OPT8304 (MA). The current practice location address for Mikaela Liem Callahan is 5520 Fl-64 #101, Bradenton, FL 34208 and can be reached out via phone at 941-721-0649.

Provider Profile Details

NPI Number
1972397222
Provider Name
Mikaela Liem Callahan
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
5520 Fl-64 #101, Bradenton, FL 34208
Phone Number
941-721-0649
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2025
Last Update Date
September 25, 2025
Certification Date
September 25, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
5520 Fl-64 #101
Bradenton, FL 34208
State
Florida
Zip
34208
Phone Number
941-721-0649
Bradenton, FL 34208Get directions →

Provider Business Mailing Address Details

Address
1662 Commonwealth Ave Apt 34
Brighton, MA 02135-5609
City
Brighton
State
MA
Zip
02135-5609
Phone Number
617-266-2030

License Information

License Number
OPT8304
License State
MA
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mikaela L Callahan, OD?

The NPI number of Mikaela L Callahan, OD is 1972397222. It was assigned on April 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Mikaela L Callahan, OD?

Mikaela L Callahan, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number OPT8304.

Where does Mikaela L Callahan, OD practice?

The practice location is 5520 Fl-64 #101, Bradenton, FL 34208. The office can be reached at 941-721-0649 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972397222 directly on the NPPES registry website.

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