Arthur W Mruczek Sr., MD
Individual provider Active NPI Ophthalmology Physician · Medina, NY
NPI 1124097878 · NPPES record last updated Jun 5, 2008
Key facts
- NPI
- 1124097878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 120403 (NY)
- Practice address
- 500 Erie Street South
Lake Plains Eye Center
Medina, NY 14103 - Phone
- (585) 798-2020
- Fax
- (585) 798-3365
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 120403 | NY | Yes |
Addresses
Primary practice location
500 Erie Street South
Lake Plains Eye Center
Medina, NY 14103
Mailing address
500 Erie Street South
Lpec Medical Eye Care PLLC
Medina, NY 14103
Phone (585) 798-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P020120403 | Other | NY | BLUE CHOICE |
| 100689CR | Other | NY | PREFERRED CARE |
| P017812763 | Other | NY | BLUE CHOICE |
| 00010122705 | Other | NY | UNIVERA |
| 060905000047 | Other | NY | FIDELIS |
| 00466862 | Medicaid | NY |
Other providers in Medina, NY
- Joseph Paul Meyer
- Elizabeth Marie Miles
- Joseph M Misiti
- John Moriarty
- Dianna Lynn Moule
- Bethany Mufford
- Richard Alan Mufford Jr.
- Joanne Patricia Murray
- Eric R Musial
- Gary Nadeau
All providers in Medina, NY · Ophthalmology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.