# MICHAEL G. MADISON OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Eye Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548508039
- **Authorized official:** DR. MICHEAL G MADISON OD (OWNER)
- **Authorized official phone:** (239) 394-3068

## Contact information

- **Practice address:** 914 PARK AVE, MARCO ISLAND, FL 34145-2751
- **Practice address phone:** (239) 394-3068
- **Practice address fax:** (239) 394-1078
- **Mailing address:** 914 PARK AVE, MARCO ISLAND, FL 34145-2751
- **Mailing address phone:** (239) 394-3068
- **Mailing address fax:** (239) 394-1078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 2939 | FL | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 02/18/2013