Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle Marie Antonucci, OD

Individual provider Optometrist · NPI 1841912623

Michelle Marie Antonucci, OD is an Optometry in Los Angeles, California. Qualified in 2022, 4 years ago. Practices with Jules Stein Eye Institute Medical Group, a 117-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
4
Licensed in
CA, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

300 Stein Plz
Los Angeles, CA 90095
Phone: (310) 267-5577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35196 (CA)
Optometrist Taxonomy 152W00000X · Licence OD61480506 (WA)

Record details

NPI number1841912623
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 19, 2022
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jules Stein Eye Institute Medical Group — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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