Stephanie Ann Masterman, OPT

Primary specialty

OpticianTaxonomy code 156FX1800X

License

007627-1 Issued in NY

Practice address

104 Kasson Rd Ste C
Camillus, NY 13031-2266

Phone

(315) 487-0327

Fax

(315) 487-4425

NPI assigned

Oct 12, 2006

Last updated

Dec 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Masterman Eye Care

  • Health Service Clinic/Center
  • Weedsport, NY
  • NPI 1639393077
  NPD (past) Authorized official
• Downing Katz Optical Company Inc

  dba sterling optical

  • Optometrist
  • Camillus, NY
  • NPI 1831247394
  NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1558450353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 KASSON RD STE C",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312266",
            "telephone_number": "315-487-0237",
            "fax_number": "315-487-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 KASSON RD STE C",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312266",
            "telephone_number": "315-487-0327",
            "fax_number": "315-487-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERMAN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "007627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Joshua Malgieri, PH.D.
• Alan Peter Mancusi Ungaro, MD
• David Christopher Manfredi, M.D.
• Stephen N Marshall, DPM
• Vincent Patrick Massaro
• Heather Mauro
• Ashley Marie Maxam
• Maxim
• Kathryn McAvan, RN
• Abigail McCarthy, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; 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.