George Martuccio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001327 Issued in PA

Practice address

1275 N Hermitage Rd
Hermitage, PA 16148-3110

Phone

(724) 346-5950

Fax

(724) 342-6246

NPI assigned

Oct 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Ohio State University - College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment Care Compare group NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063505345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NAVAJO TRL",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444203633",
            "telephone_number": "724-346-5950",
            "fax_number": "724-342-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N HERMITAGE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483110",
            "telephone_number": "724-346-5950",
            "fax_number": "724-342-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUCCIO",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Marcin, D.O.
• Marrauris Legacy LLC
• Michael Marshall
• Jennifer Ann Martin, RPH
• Shalyn Marhel Martin
• Stephanie K Marugg, LCSW
• Johnathan S Mason, LCSW
• Thomas Masters Jr., PT
• Mastrian Eyecare, LLC
• Louis W Mastrian, O.D.

• Optometrist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.