Maz Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5877-1 Issued in NY

Legal business name

MAZ OPTICAL, INC

Practice address

655 Montauk Highway
Suite 29
East Patchogue, NY 11772

Phone

(631) 447-1300

Fax

(631) 447-1302

NPI assigned

Jan 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Marilyn A Peppers

Title

President

Phone

(631) 447-1300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Maz Optical Doing business as

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1316095482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 MONTAUK HWY",
            "address_2": "SUITE 29",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724733",
            "telephone_number": "631-447-1300",
            "fax_number": "631-447-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MONTAUK HIGHWAY",
            "address_2": "SUITE 29",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-447-1300",
            "fax_number": "631-447-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZ OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-447-1300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003894",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "5877-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5400044",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVA",
            "identifier": "333670",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maz Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Joy Marx, D.O.
• Nirmal Masih, RN
• Jeanna Masone, ANP
• Rachel Masullo, OTR/L
• Wendy Patricia Mayce, MA
• Maz Optical, Inc
• John P Mazzara, R.PA-C
• Ryan Louis McCarty, DPT
• Casey McCormack, PA-C
• Brian Thomas McGuinness, M.D.

• Eyewear Supplier in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.