Individual provider Active NPI

Olga A Merdiuszew, O.D.

  • Optometrist
  • Lancaster, PA
National Provider Identifier
1205831625
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001031 Issued in PA
Practice address
2104 Spring Valley Rd
Lancaster, PA 17601-2427
Phone
(717) 541-9700
Fax
(717) 541-9705
NPI assigned
Jun 14, 2005
Last updated
Feb 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001031 PA Primary

Addresses

Primary practice location

2104 Spring Valley Rd
Lancaster, PA 17601-2427

Mailing address

2104 Spring Valley Rd
Lancaster, PA 17601-2427
Phone (717) 541-9700

Other practice location 1

825 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 541-9700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061019000052 PA Practitioner - Optometry 2961408752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conestoga Eye PCGroup PAC ID 1456669894, 7 clinicians

Practice addresses (Care Compare)

825 Fishburn Rd
Hershey, PA 17033-2015
Phone (717) 541-9700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001031PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Conestoga Eye PC CurrentSince Dec 1, 2024 Accepting new patients

Locations

338 Alexander Spring Rd
#A
Carlisle, PA 17015
Phone (717) 541-9700

825 Fishburn Rd
Hershey, PA 17033
Phone (717) 533-5200

2104 Spring Valley Rd
Lancaster, PA 17601
Phone (717) 541-9700

Interoperability endpoints

  • Direct secure messaging: omerdiuszew@occp.medentdirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1205831625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-541-9700",
            "fax_number": "717-541-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 SPRING VALLEY RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012427",
            "telephone_number": "717-541-9700",
            "fax_number": "717-541-9705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Fishburn Rd",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332015",
            "country_code": "US",
            "telephone_number": "717-541-9700",
            "fax_number": "717-541-9705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERDIUSZEW",
        "first_name": "OLGA",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.