Active NPI
Mark A Zaleski, OWNER
- Optician
- Milford, PA
National Provider Identifier
1245294354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 322 Broad St
Milford, PA 18337-1345 - Phone
- (570) 296-4891
- Fax
- (570) 296-4892
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
322 Broad St
Milford, PA 18337-1345
Mailing address
322 Broad St
Milford, PA 18337-1345
Phone (570) 296-4891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Locations
322 Broad St
Milford, PA 18337
Phone (570) 296-4891
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188518400000",
"number": "1245294354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 BROAD ST",
"city": "MILFORD",
"state": "PA",
"postal_code": "183371345",
"telephone_number": "570-296-4891",
"fax_number": "570-296-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 BROAD ST",
"city": "MILFORD",
"state": "PA",
"postal_code": "183371345",
"telephone_number": "570-296-4891",
"fax_number": "570-296-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALESKI",
"first_name": "MARK",
"middle_name": "A",
"credential": "OWNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2007-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.