Individual provider Active NPI

Maria F. Karamisakis, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1336377274
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002048 Issued in PA
Practice address
2250 Christopher Columbus Blvd
Philadelphia, PA 19148-2808
Phone
(215) 339-5341
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002048 PA Primary

Addresses

Primary practice location

2250 Christopher Columbus Blvd
Philadelphia, PA 19148-2808

Mailing address

2317 S 21St St
Philadelphia, PA 19145-3522
Phone (601) 405-7007

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230615002445 PA Practitioner - Optometry 2860850328 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002048PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc CurrentSince May 2, 2023 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince May 2, 2023 Accepting new patients
Central City Optical Company Optometrist Past Accepting new patients
Cohen Fashion Optical, LLC Past Accepting new patients

Locations

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

2250 Christopher Columbus Blvd
Philadelphia, PA 19148
Phone (215) 339-5341

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1336377274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 S 21ST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453522",
            "telephone_number": "601-405-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CHRISTOPHER COLUMBUS BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482808",
            "telephone_number": "215-339-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMISAKIS",
        "first_name": "MARIA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.