Arthur W Mruczek Sr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

120403 Issued in 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

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lpec Medical Eyecare PLLC

  dba Lake Plains Eye Center

  • Eyewear Supplier
  • Medina, NY
  • NPI 1699940858
  Authorized official Same address or phone

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1124097878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ERIE STREET SOUTH",
            "address_2": "LPEC MEDICAL EYE CARE PLLC",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "14103",
            "telephone_number": "585-798-2020",
            "fax_number": "585-798-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ERIE STREET SOUTH",
            "address_2": "LAKE PLAINS EYE CENTER",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "14103",
            "telephone_number": "585-798-2020",
            "fax_number": "585-798-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRUCZEK",
        "first_name": "ARTHUR",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "120403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00466862",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100689CR",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "060905000047",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P017812763",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P020120403",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010122705",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Paul Meyer, PHARMD
• Elizabeth Marie Miles, PHARMD
• Joseph M Misiti, M.D.
• John Moriarty
• Dianna Lynn Moule, LPN
• Bethany Mufford, LPN
• Richard Alan Mufford Jr., PHARM.D
• Joanne Patricia Murray
• Eric R Musial, PHARM.D
• Gary Nadeau, MD

• Ophthalmology Physician in Medina, NY
• Providers in Medina, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.