Organization Active NPI

Lansdowne Optometric Associates

  • Optometrist
  • Lansdowne, PA
National Provider Identifier
1376563148
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000100 Issued in PA
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

Updated by the provider on Sep 11, 2012

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

Authorized official

Name
Dr. Michael B Maizel, ODNPI 1902829518
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040908000490 PA Part B Supplier - Clinic/Group Practice 0749256089 Receives reassigned benefits from 1 practitioner
Practice locations: Lansdowne, PA

National Provider Directory

National Provider Directory

Locations

24 E Baltimore Ave
Lansdowne, PA 19050

20 E Baltimore Ave
Lansdowne, PA 19050
Phone (610) 623-1127

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.