Individual provider Active NPI

James V Mascoli, O.D.

  • Optometrist
  • Lebanon, PA
National Provider Identifier
1235133604
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE006599T Issued in PA
Practice address
875 Norman Dr
Lebanon, PA 17042-7454
Phone
(717) 272-2010
Fax
(717) 272-2937
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE006599T PA Primary

Addresses

Primary practice location

875 Norman Dr
Lebanon, PA 17042-7454

Mailing address

3055 Oak St
Lebanon, PA 17042-4135
Phone (717) 274-3709

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
I20110127000257 PA Practitioner - Optometry 5890974588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.99 of 100Reported as group
Quality
94.96
Promoting interoperability
95
Improvement activities
40
Cost
72.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
George E. Fava MD PC CurrentSince Nov 22, 1994 Accepting new patients
George E Fava MD PC Optometrist CurrentSince Nov 22, 1994 Accepting new patients

Locations

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235133604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OAK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170424135",
            "telephone_number": "717-274-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427454",
            "telephone_number": "717-272-2010",
            "fax_number": "717-272-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCOLI",
        "first_name": "JAMES",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006599T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.