Individual provider Active NPI

Michael F Magro, OD

  • Optometrist
  • Reading, PA
National Provider Identifier
1508876186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OE007045T Issued in PA
Practice address
929 Penn St
Reading, PA 19601
Phone
(610) 376-7872
Fax
(610) 376-4476
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OE007045T PA Primary

Addresses

Primary practice location

929 Penn St
Reading, PA 19601

Mailing address

929 Penn St
Reading, PA 19601
Phone (610) 376-7872

Other identifiers 1

IdentifierTypeStateIssuer
1174499MedicaidPA

Other names 1

  • Dr. Michael F Magro Professional name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20200331000094 PA Practitioner - Optometry 9335578152 Practice locations: Reading, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508876186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "19601",
            "telephone_number": "610-376-7872",
            "fax_number": "610-376-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "19601",
            "telephone_number": "610-376-7872",
            "fax_number": "610-376-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRO",
        "first_name": "MICHAEL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007045T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174499",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "MAGRO",
            "middle_name": "F",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.