Active NPI
Lansdowne Optometric Associates
- Optometrist
- Lansdowne, PA
National Provider Identifier
1376563148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000100
- Legal business name
- LANSDOWNE OPTOMETRIC ASSOCIATES
- Doing business as
- Lansdowne Eye Associate
- Practice address
- 20 E Baltimore Ave
Lansdowne, PA 19050-2202 - Phone
- (610) 623-1127
- Fax
- (484) 461-8618
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael B Maizel, OD
- Title
- MD/Owner
- Phone
- (610) 623-1127
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000100 | PA | Primary |
Addresses
Primary practice location
20 E Baltimore Ave
Lansdowne, PA 19050-2202
Mailing address
20 E Baltimore Ave
Lansdowne, PA 19050-2202
Phone (610) 623-1127
Other names 1
- Lansdowne Eye Associate
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
24 E Baltimore Ave
Lansdowne, PA 19050
20 E Baltimore Ave
Lansdowne, PA 19050
Phone (610) 623-1127
Interoperability endpoints
- https://api.platform.athenahealth.com/17329/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lansdowne, PA
- NPI 1902829518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347321600000",
"number": "1376563148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 E BALTIMORE AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190502202",
"telephone_number": "610-623-1127",
"fax_number": "484-461-8618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 E BALTIMORE AVE",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190502202",
"telephone_number": "610-623-1127",
"fax_number": "484-461-8618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANSDOWNE OPTOMETRIC ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2012-09-11",
"status": "A",
"authorized_official_last_name": "MAIZEL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "610-623-1127",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lansdowne Eye Associate",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lansdowne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.