Maz Optical, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MAZ OPTICAL, INC

Practice address

655 Montauk Hwy
Suite 29
East Patchogue, NY 11772-4733

Phone

(631) 447-1300

Fax

(631) 447-1302

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Marilyn Anne Peppers, LDO

Title

President

Phone

(631) 447-1300

Specialties & licenses 1

Addresses

Other names 1

• MAZ Optical Doing business as

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1366868580",
    "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 HWY",
            "address_2": "SUITE 29",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117724733",
            "telephone_number": "631-447-1300",
            "fax_number": "631-447-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZ OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-447-1300",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAZ Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.
• Rebecca Lee McNair, LPN

• Optometrist in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.