Individual provider Active NPI

Miroslava Zeleznik-Landis, O.D.

  • Optometrist
  • Monroeville, PA
National Provider Identifier
1639141237
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001101 Issued in PA
Practice address
1768C Golden Mile Hwy
Monroeville, PA 15146-2012
Phone
(724) 345-4099
NPI assigned
Feb 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001101 PA Primary

Addresses

Primary practice location

1768C Golden Mile Hwy
Monroeville, PA 15146-2012

Mailing address

4130 Kellington CT
Murrysville, PA 15668-1028
Phone (724) 325-4099

Other identifiers 1

IdentifierTypeStateIssuer
0012851100003MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071001000037 PA Practitioner - Optometry 4385739770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Eye Associates LLCGroup PAC ID 8527421635, 2 clinicians

Practice addresses (Care Compare)

1768 Golden Mile Hwy
C
Monroeville, PA 15146-2012
Phone (724) 325-4099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001101PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Eye Associates LLC Optometrist CurrentSince Jul 29, 2023 Accepting new patients

Locations

1768 Golden Mile Hwy
#C
Monroeville, PA 15146
Phone (724) 325-4099

1768C Golden Mile Hwy
Monroeville, PA 15146
Phone (724) 325-4099

1768C Golden Mile Hwy
Ste C
Monroeville, PA 15146

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1639141237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 KELLINGTON CT",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681028",
            "telephone_number": "724-325-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1768C GOLDEN MILE HWY",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462012",
            "telephone_number": "724-345-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELEZNIK-LANDIS",
        "first_name": "MIROSLAVA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012851100003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.