Louis W Mastrian, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001321 Issued in PA

Practice address

490 N Kerrwood Dr
Suite 203
Hermitage, PA 16148-5202

Phone

(724) 342-2733

Fax

(724) 342-6652

NPI assigned

Nov 25, 2005

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 2

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1990

Medicare assignment

May accept Medicare assignment

Group practices

Mastrian Eyecare, LLCGroup PAC ID 6204017114, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Mastrian Eyecare, LLC

  • Optometrist
  • Hermitage, PA
  • NPI 1811299191
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1255314043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 N KERRWOOD DR",
            "address_2": "SUITE 203",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485202",
            "telephone_number": "724-342-2733",
            "fax_number": "724-342-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 N KERRWOOD DR",
            "address_2": "SUITE 203",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161485202",
            "telephone_number": "724-342-2733",
            "fax_number": "724-342-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRIAN",
        "first_name": "LOUIS",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001214412",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Martuccio, OD
• Stephanie K Marugg, LCSW
• Johnathan S Mason, LCSW
• Thomas Masters Jr., PT
• Mastrian Eyecare, LLC
• Margaret M Mastrian, O.D.
• Materna Psychological Services, PC
• Materna Psychological Services, PC
• Daniel Materna, PSY.D.
• Jill Klingenstein Materna, PSY.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.