Mark G Musial, OPTHALMIC DISPENSER

Primary specialty

OpticianTaxonomy code 156FX1800X

License

006109-1 Issued in NY

Practice address

6928 Myrtle Ave
Glendale, NY 11385-7263

Phone

(718) 381-4577

Fax

(718) 634-2540

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MPM Optical Inc.

  dba Precision Vision

  • Eyewear Supplier
  • Glendale, NY
  • NPI 1598707317
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417983446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 BEACH 136TH ST",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941324",
            "telephone_number": "718-945-0892",
            "fax_number": "718-634-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6928 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857263",
            "telephone_number": "718-381-4577",
            "fax_number": "718-634-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSIAL",
        "first_name": "MARK",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "OPTHALMIC DISPENSER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "006109-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01612817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MPM Optical Inc. (Precision Vision)
• Sahar Shakil Mulla
• Christine Mullin, RN, BSN
• Claudia Maria Munoz, RN
• Anna Muras
• Mona Muzyk
• Agnieszka Muzyka, RN
• Myrtle Ave Medical PLLC
• Myrtle Avenue Trading LLC
• Myrtle Express Pharmacy Inc

• Optician in Glendale, NY
• Providers in Glendale, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.