Steven Gary Mizerak I, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3626 Issued in MA

Practice address

7 Neponset St
Worcester, MA 01606-2794

Phone

(508) 856-0613

NPI assigned

Apr 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McLeod Eye Associates PCGroup PAC ID 7719143544, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• McLeod Eye Associates, P.C.

  • Optometrist
  • Auburn, MA
  • NPI 1487816591
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598887267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 GREYSTONE DR",
            "city": "HOLDEN",
            "state": "MA",
            "postal_code": "015201200",
            "telephone_number": "508-829-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NEPONSET ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062794",
            "telephone_number": "508-856-0613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERAK",
        "first_name": "STEVEN",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE NUMBER",
            "identifier": "3626",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory James Mitchon, MD
• Kriti Mittal, MD
• Vaishali Mittal
• Kristen Mitton
• Esther N Miwanda, FNP-BC
• Anthony Lundi Mngolia
• Mehrak Moaddab, MD, MPH
• Bvutiwe Lucy Mobbs, MSW
• Jamie Lynn Mobed
• Patience Moberg

• Optometrist in Worcester, MA
• Providers in Worcester, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.