Organization Active NPI

Richard C. Malara, OD PC

  • Optometrist
  • Baldwinsville, NY
National Provider Identifier
1336346550
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T005325 Issued in NY
Legal business name
RICHARD C. MALARA, OD PC
Practice address
8395 Oswego Rd
Suite 7C
Baldwinsville, NY 13027-6801
Phone
(315) 622-3500
Fax
(315) 622-3522
NPI assigned
Jun 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Richard Christian Malara, ODNPI 1386634210
Title
Optometrist
Phone
(315) 622-3500

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T005325 NY Primary
Eyewear Supplier 332H00000X TUV005325-1 NY

Addresses

Primary practice location

8395 Oswego Rd
Suite 7C
Baldwinsville, NY 13027-6801

Mailing address

8395 Oswego Rd
Suite 7C
Baldwinsville, NY 13027-6801
Phone (315) 622-3500

Other names 1

  • Malara Eyecare & Eyewear Gallery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040713001249 NY Part B Supplier - Clinic/Group Practice 7719965839 Receives reassigned benefits from 4 practitioners
Practice locations: Baldwinsville, NY; Fayetteville, NY
O20100930047241 NY DME Supplier - Physician - Optometrist 7719965839 1 other NPI on this enrollment
Practice locations: Baldwinsville, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2255805Richard C Malara OD PC8395 Oswego Rd, Baldwinsville, NY 13027Certificate of waiverMar 16, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Richard C Malara OD PC8395 Oswego Rd, Baldwinsville, NY 13027-6801(315) 622-3500 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Aug 1, 2004

National Provider Directory

National Provider Directory

Locations

8395 Oswego Rd
Ste 7C
Baldwinsville, NY 13027
Phone (315) 622-3500

8395 Oswego Rd
#7C
Baldwinsville, NY 13027
Phone (315) 622-3500

6950 E Genesee St
Fayetteville, NY 13066
Phone (315) 256-9856

6950 E Genesee St
Ste 1
Fayetteville, NY 13066
Phone (315) 445-9856

Practitioners & affiliated clinicians

Practitioners 6

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1336346550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8395 OSWEGO RD",
            "address_2": "SUITE 7C",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130276801",
            "telephone_number": "315-622-3500",
            "fax_number": "315-622-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8395 OSWEGO RD",
            "address_2": "SUITE 7C",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130276801",
            "telephone_number": "315-622-3500",
            "fax_number": "315-622-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C. MALARA, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "MALARA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "315-622-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005325",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "TUV005325-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malara Eyecare & Eyewear Gallery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.