Active NPI
Monika Agnieszka Marczak, O.D.
- Corneal and Contact Management Optometrist
- McMurray, PA
National Provider Identifier
1104041508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OEG001269
- Practice address
- 4007 Washington Rd
Donaldson'S Crossroads
McMurray, PA 15317-2520 - Phone
- (724) 941-5100
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OEG001269 | PA | Primary |
Addresses
Primary practice location
4007 Washington Rd
Donaldson'S Crossroads
McMurray, PA 15317-2520
Mailing address
1761 Moynelle Dr
Pittsburgh, PA 15243-1635
Phone (412) 805-1676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3923 Washington Rd
MC Murray, PA 15317-2532
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001269 | PA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon C. O'Rourke, O.D. LLC | Past | Accepting new patients | |
| Eagle Eyes | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Corneal and Contact Management Optometrist
- MC Murray, PA
- NPI 1053541342
-
- Eyewear Supplier
- Pittsburgh, PA
- NPI 1013135763
-
- Optometrist
- Pittsburgh, PA
- NPI 1346455912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104041508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 MOYNELLE DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152431635",
"telephone_number": "412-805-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4007 WASHINGTON RD",
"address_2": "DONALDSON'S CROSSROADS",
"city": "MCMURRAY",
"state": "PA",
"postal_code": "153172520",
"telephone_number": "724-941-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCZAK",
"first_name": "MONIKA",
"middle_name": "AGNIESZKA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG001269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMurray, PA
Sources for this page
- 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.