Organization Active NPI

Southern Lancaster Eye Care LLC

  • Optometrist
  • Quarryville, PA
National Provider Identifier
1306794326
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SOUTHERN LANCASTER EYE CARE LLC
Practice address
34 Fawn Dr.
Quarryville, PA 17566-9741
Phone
(717) 947-7283
Fax
(717) 947-7284
NPI assigned
Mar 17, 2026
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Mrs. Maia Z Moyer-Hazen, O.D.NPI 1972944742
Title
Sole Member/Optometrist
Phone
(717) 847-7745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

34 Fawn Dr.
Quarryville, PA 17566-9741

Mailing address

34 Fawn Dr.
Quarryville, PA 17566-9741
Phone (717) 847-7745

Other identifiers 1

IdentifierTypeStateIssuer
1033516010002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260604002676 PA Part B Supplier - Clinic/Group Practice 7012488638 Receives reassigned benefits from 1 practitioner
Practice locations: Quarryville, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1306794326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 FAWN DR.",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175669741",
            "telephone_number": "717-847-7745",
            "fax_number": "717-947-7284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 FAWN DR.",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175669741",
            "telephone_number": "717-947-7283",
            "fax_number": "717-947-7284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LANCASTER EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "MOYER-HAZEN",
        "authorized_official_first_name": "MAIA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "SOLE MEMBER/OPTOMETRIST",
        "authorized_official_telephone_number": "717-847-7745",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033516010002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quarryville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.

Verify at the official NPI Registry.