Brian M Mackey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA05532300 Issued in NJ

Practice address

369 Springfield Ave
Berkeley Heights, NJ 07922-1170

Phone

(908) 464-0123

Fax

(908) 665-2936

NPI assigned

Jul 13, 2006

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Illinois College of Optometry at Chicago, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Laura Lukaszek, O.D., LLCGroup PAC ID 9436232733, 2 clinicians

DNV Optometry LLCGroup PAC ID 5294246476, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• DNV Optometry LLC

  • Optometrist
  • Berkeley Heights, NJ
  • NPI 1649073081
  Medicare reassignment Care Compare group NPD
• Laura Lukaszek, O.D., LLC

  • Health Service Clinic/Center
  • Berkeley Heights, NJ
  • NPI 1215115761
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1609891092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 GLENWOOD RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231422",
            "telephone_number": "908-889-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SPRINGFIELD AVE",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221170",
            "telephone_number": "908-464-0123",
            "fax_number": "908-665-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA05532300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Lynn
• Jessica Ma
• Jessica Macdougall
• Antonio Macias, M.D.
• Nicole Mack, MS CCC-SLP
• Marissa Faith Maddalena, PA-C
• Karen Lynn Magliacano
• Benjamin A Maldonado Jr., DMD
• Daphney Malone, RPA-C
• Soma Mandal, M.D.

• Optometrist in Berkeley Heights, NJ
• Providers in Berkeley Heights, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.