Stephen John Maszkiewicz, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001735 Issued in PA

Practice address

114 Fox Rd
Monroeville, PA 15146-2706

Phone

(412) 372-1982

Fax

(412) 372-1982

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ra Optical

  • Optometrist
  • Tarentum, PA
  • NPI 1780653253
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194851535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FOX RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462706",
            "telephone_number": "412-372-1982",
            "fax_number": "412-372-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 FOX RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462706",
            "telephone_number": "412-372-1982",
            "fax_number": "412-372-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASZKIEWICZ",
        "first_name": "STEPHEN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01740985",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Mason
• Robert Mason, L.C.S.W.
• Theresa C Mason, LCSW BCD
• Lara Walsh Massie, MD
• Francesca Mastrangelo
• Anirudh Matha, MD
• Michael William Matisko Jr., D.M.D., M.S.D.
• Jacob Matter, PA-C
• Leena Ahmad Matthews, MD
• Ted Matthews III, D.C.

• Optometrist in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Optometrist in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.