Masterman Eye Care

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MASTERMAN EYE CARE

Practice address

8934 N Seneca St
Weedsport, NY 13166-8566

Phone

(315) 834-8941

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Masterman, OPT.NPI 1558450353

Title

Owner

Phone

(315) 834-9841

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Ann Masterman, OPT

  • Optician
  • Camillus, NY
  • NPI 1558450353
  NPD (past) Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639393077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8934 N SENECA ST",
            "address_2": "P O BOX 678",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131668566",
            "telephone_number": "315-834-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8934 N SENECA ST",
            "city": "WEEDSPORT",
            "state": "NY",
            "postal_code": "131668566",
            "telephone_number": "315-834-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERMAN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASTERMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-834-9841",
        "authorized_official_credential": "OPT."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00610302",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02186423",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KPH Healthcare Services, Inc.
• Devon Nicole Liddiard, LPN
• Lori Lowery, OTR/L
• Michelle Maginn, R.PH.
• Lisa Ann Martino, RN
• Beth Hillig McKeen, R.N.
• Mobility Matters LLC
• Amanda Jo Moffitt, LPN
• Jolynn Moore, LMT
• Heather M. Petrus, LMHC

• Health Service Clinic/Center in Weedsport, NY
• Providers in Weedsport, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.