Corrado Rain Masciocchi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003980 Issued in WA

Practice address

2729 78TH Ave SE
Mercer Island, WA 98040-2816

Phone

(206) 232-3377

Fax

(206) 232-3377

NPI assigned

Dec 7, 2006

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

Medicare fee-for-service enrollment

Enrolled in WA

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

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mercer Island Eyeworks Inc

  • Optometrist
  • Mercer Island, WA
  • NPI 1790813111
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265591051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MT LOGAN DR SW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980274013",
            "telephone_number": "425-306-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 78TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402816",
            "telephone_number": "206-232-3377",
            "fax_number": "206-232-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCIOCCHI",
        "first_name": "CORRADO",
        "middle_name": "RAIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore Dungan Mandelkorn, MD
• Nancy Mar
• Mark Germack DDS PLLC
• James C Martin, MD
• Bryan Gene Maruhashi, D.D.S.
• Jessica Le Massey, PHCY-TEC
• Matthew T Streelman DDS MD PLLC
• Kathleen L Matthews
• Maxim Healthcare Services, Inc.
• Kara J McCulloch, DMD, MSD

• Optometrist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Optometrist in Washington

• 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.
• 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.