Shauna Mazzulla, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002864 Issued in AZ

Practice address

4838 E Baseline Rd Ste 129
Mesa, AZ 85206-4673

Phone

(480) 892-6560

NPI assigned

Jan 5, 2007

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Vanessa Michel PLLCGroup PAC ID 9234266065, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment Care Compare group NPD
• Vanessa Michel PLLC

  dba Redmond Ridge Eye Care

  • Optometrist
  • Redmond, WA
  • NPI 1437480456
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1396893608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 E LINCOLN DR UNIT 3157",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534454",
            "telephone_number": "206-390-2637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 E BASELINE RD STE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064673",
            "telephone_number": "480-892-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZULLA",
        "first_name": "SHAUNA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3661 TX",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary L. Mazza, D.O.
• Shelley Mazza, PT
• Anthony Frank Mazzitello
• Kelsey Mazzocca, DC
• Gina Mazzucco
• MB Anesthesiology LLC
• MB Behavioral Recovery & Empowerment LLC (MB Empowerment)
• Linah Wanjiku Mbaru, MSN, APRN, FNP-BC
• MBR Hearing AIDS, Inc., Dba Beltone Hearing Centers
• Chelsea Elizabeth McAuley, FNP-C

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.

Verify at the official NPI Registry.