Organization Active NPI

Sussex Eye Center PA

  • Optometrist
  • Georgetown, DE
National Provider Identifier
1427090570
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SUSSEX EYE CENTER PA
Practice address
502 W Market St
Ste a
Georgetown, DE 19947-2322
Phone
(302) 856-2020
Fax
(302) 856-4970
NPI assigned
Jun 12, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Carl Maschauer, O.D.NPI 1831194927
Title
President
Phone
(302) 856-2020

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
Optometrist 152W00000X Primary

Addresses

Primary practice location

502 W Market St
Ste a
Georgetown, DE 19947-2322

Mailing address

502 W Market St
P.O. Box 400
Georgetown, DE 19947-2322
Phone (302) 856-2020

Other identifiers 1

IdentifierTypeStateIssuer
0000534045MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040511001205 DE Part B Supplier - Clinic/Group Practice 4284623596 Receives reassigned benefits from 9 practitioners
Practice locations: Lewes, DE; Selbyville, DE; Millsboro, DE; Georgetown, DE
O20100930053096 DE DME Supplier - Physician - Optometrist 4284623596 Practice locations: Georgetown, DE

National Provider Directory

National Provider Directory

Locations

502 W Market St
Georgetown, DE 19947
Phone (302) 629-3044

502 W Market St
Ste A
Georgetown, DE 19947
Phone (302) 645-8881

1540 Savannah Rd
Ste A
Lewes, DE 19958
Phone (302) 645-2020

32030 Long Neck Rd
Ste A
Millsboro, DE 19966

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1427090570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "address_2": "P.O. BOX 400",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020",
            "fax_number": "302-856-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "address_2": "STE A",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020",
            "fax_number": "302-856-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSSEX EYE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "MASCHAUER",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-856-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000534045",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.