Individual provider Active NPI

Carey Jane Murzynski, OD

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1073182218
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009349 Issued in NY
Practice address
403 Main St Ste 510
Buffalo, NY 14203-2107
Phone
(716) 852-7262
NPI assigned
Jun 22, 2021
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009349 NY Primary

Addresses

Primary practice location

403 Main St Ste 510
Buffalo, NY 14203-2107

Mailing address

29 Quail Run
Orchard Park, NY 14127-4611
Phone (716) 250-8743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210712000398 NY Practitioner - Optometry 8628470838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

403 Main St
Suite 510
Buffalo, NY 14203-2107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009349NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark Sorrentino Optometrist CurrentSince Jun 27, 2021 Accepting new patients

Locations

403 Main St
Ste 510
Buffalo, NY 14203
Phone (716) 852-7262

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1073182218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 QUAIL RUN",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274611",
            "telephone_number": "716-250-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MAIN ST STE 510",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032107",
            "telephone_number": "716-852-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURZYNSKI",
        "first_name": "CAREY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.