Maureen A Mulac, OD
Individual provider Active NPI Optometrist · McKeesport, PA
NPI 1104013960 · NPPES record last updated Sep 26, 2007
Key facts
- NPI
- 1104013960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG001240 (PA)
- Practice address
- 4313 Walnut St
Sears Optical
McKeesport, PA 15132 - Phone
- (412) 754-1052
- Fax
- (412) 754-1053
- NPI assigned
- Sep 26, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4313 Walnut St
Suite 108
McKeesport, PA 15132-6128
Phone (412) 754-1052
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050429000422 | PA | Practitioner - Optometry | 7911946892 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001240 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adam and Maureen Mulac PC | Optometrist | Current |
Accepting new patients |
| James W. Mahramas, O.D. | Optometrist | Past | Accepting new patients |
Locations
4313 Walnut St
McKeesport, PA 15132
Phone (412) 754-1052
4313 Walnut St
Ste 108
McKeesport, PA 15132
Phone (412) 754-1050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001240 | PA | Yes |
Addresses
Primary practice location
4313 Walnut St
Sears Optical
McKeesport, PA 15132
Mailing address
4313 Walnut St
Sears Optical
McKeesport, PA 15132
Phone (412) 754-1052
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01818809 | Medicaid | PA |
Other names
- Dr. Maureen A Geraghty
Other providers in McKeesport, PA
- Alexandra Mosser
- Ellen Marie Muchnok
- Taylor Mugnier
- Nassar Mukhtar
- Adam J Mulac
- Jennifer Mullins
- Melanie Murdock
- Jessica Hope Murray
- Khavah Murray
- Melissa Murray
All providers in McKeesport, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.