MGM Optics, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

MGM OPTICS, INC

Practice address

201 Penn Center Blvd
Suite 100
Pittsburgh, PA 15235-5435

Phone

(412) 824-1755

NPI assigned

Jan 11, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew G MomichNPI 1619967429

Title

Owner

Phone

(412) 824-1755

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

Practitioners 1

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.

• Matthew Momich, OPTICIAN

  • Optician
  • Pittsburgh, PA
  • NPI 1619967429
  NPD (past) Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1477739274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PENN CENTER BLVD",
            "address_2": "STE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355435",
            "telephone_number": "412-824-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PENN CENTER BLVD",
            "address_2": "SUITE 100",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152355435",
            "telephone_number": "412-824-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM OPTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "MOMICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-824-1755"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION BENEFITS OF AMERICA",
            "identifier": "393866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS BLUE SHIELD",
            "identifier": "000292384",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "49668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE MANAGED VISION",
            "identifier": "1619967429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERICA",
            "identifier": "PA00201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "OP2144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teri A Meyers, PHD
• Thiagarajan Meyyappan, MD
• Manuel P Meza, MD
• Lori Anne Mezeivtch, RPH
• Amanda Mezhinsky, LCSW
• Eric Mi, MD
• Tian Mi, M.D.
• Jenna Miah
• Irfan-Ud-Din Mian, MD
• Dominic David Miano Jr., MA

• Optician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Optician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.