Active NPI
Robin M Maceyko, O.D.
- Optometrist
- Boardman, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3524T944
- Practice address
- 8004 South Ave
Boardman, OH 44512-3642 - Phone
- (330) 726-1616
- Fax
- (330) 726-1682
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3524T944 | OH | Primary |
Addresses
Primary practice location
8004 South Ave
Boardman, OH 44512-3642
Mailing address
8004 South Ave
Boardman, OH 44512-6153
Phone (330) 726-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0573731 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8004 S Ave
Boardman, OH 44512-6153
Phone (330) 726-1616
915 Columbiana Canfield Rd
Columbiana, OH 44408-9457
Phone (330) 482-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3524T944 | OH | MD | Optometrist |
| 3524 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall M Maceyko, OD | Optometrist | Current | Accepting new patients |
| Eye Catchers Optical LLC | Optometrist | Current | Accepting new patients |
Locations
915 State Route 46
Ste 5
Columbiana, OH 44408
Phone (216) 482-1000
915 State Route 46
Columbiana, OH 44408
Phone (330) 482-1000
8004 South Ave
Youngstown, OH 44512
Phone (330) 726-1616
Organizations & group practices 3
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.
-
- Optometrist
- Columbiana, OH
- NPI 1043006778
-
- Optometrist
- Boardman, OH
- NPI 1770684391
-
- Optometrist
- Columbiana, OH
- NPI 1871692699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1356320477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8004 SOUTH AVE",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445126153",
"telephone_number": "330-726-1616",
"fax_number": "330-726-1682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8004 SOUTH AVE",
"city": "BOARDMAN",
"state": "OH",
"postal_code": "445123642",
"telephone_number": "330-726-1616",
"fax_number": "330-726-1682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACEYKO",
"first_name": "ROBIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3524T944",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0573731",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boardman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.