Individual provider Active NPI

Paul J Mahar Jr., M.D.

  • Ophthalmology Physician
  • Boardman, OH
National Provider Identifier
1568434330
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-028269 Issued in OH
Practice address
7087 West Blvd Ste 3
Boardman, OH 44512-4335
Phone
(330) 758-8183
Fax
(330) 758-8849
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35-028269 OH Primary

Addresses

Primary practice location

7087 West Blvd Ste 3
Boardman, OH 44512-4335

Mailing address

7087 West Blvd Ste 3
Boardman, OH 44512-4335
Phone (330) 758-8183

Other identifiers 1

IdentifierTypeStateIssuer
0175715MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001218 OH Practitioner - Ophthalmology 5092706358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-028269OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews Eye Associates, Inc. Ophthalmology CurrentSince Jul 1, 1993 Accepting new patients

Locations

7087 West Blvd
Ste 3
Youngstown, OH 44512
Phone (330) 758-4822

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1568434330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7087 WEST BLVD STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124335",
            "telephone_number": "330-758-8183",
            "fax_number": "330-758-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7087 WEST BLVD STE 3",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124335",
            "telephone_number": "330-758-8183",
            "fax_number": "330-758-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAR",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-028269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175715",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.