Marisa Lynn Ciamacca, OD, MS

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003437 Issued in PA

Practice address

2591 Wexford Bayne Rd Ste 104
Sewickley, PA 15143

Phone

(724) 933-5588

Fax

(724) 933-6051

NPI assigned

Jun 29, 2017

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sightline Ophthalmic Associates, P.C.Group PAC ID 6305758517, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.55 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.17

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mciamacca@slec.intellechartdirect.net

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.

• Sightline Ophthalmic Associates, P.C.

  • Ophthalmology Physician
  • Wexford, PA
  • NPI 1346366143

  Optometrist

  Medicare reassignment Care Compare group NPD
• Sightline SS LLC

  • Ambulatory Surgical Clinic/Center
  • Sewickley, PA
  • NPI 1578201851
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1619498706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 WEXFORD BAYNE RD STE 104",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151438676",
            "telephone_number": "724-933-5588",
            "fax_number": "724-933-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 WEXFORD BAYNE RD STE 104",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "724-933-5588",
            "fax_number": "724-933-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMACCA",
        "first_name": "MARISA",
        "middle_name": "LYNN",
        "credential": "OD, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2583",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103523475",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children's Community Care (Children's Community Pediatrics)
• Chiropractic Family Health Center (Shawn Richey DC)
• Chris T. O'Donnell M.D., PC
• Mary Anne - Christiansen, RPH
• Maria Christina, LPC, NCC
• Christina A Cirucci, MD
• Kevin David Clark, MD
• Susan C Clinton, PT
• Leslie Ann Collier, RPH
• Paul E Collier, M.D.

• Optometrist in Sewickley, PA
• Providers in Sewickley, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.