Individual provider Active NPI

Ashley Marie Mastrine, O.D.

  • Optometrist
  • Cresson, PA
National Provider Identifier
1639465164
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002463 Issued in PA
Practice address
701 Front St
Cresson, PA 16630-1114
Phone
(814) 886-8393
Fax
(814) 886-6871
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002463 PA Primary

Addresses

Primary practice location

701 Front St
Cresson, PA 16630-1114

Mailing address

701 Front St
Cresson, PA 16630-1114
Phone (814) 886-8393

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
I20111006000042 PA Practitioner - Optometry 1052583507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

701 Front St
Cresson, PA 16630-1114
Phone (814) 886-8393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Archibald R Morris OD Optometrist PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 2

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1639465164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 FRONT ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301114",
            "telephone_number": "814-886-8393",
            "fax_number": "814-886-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 FRONT ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301114",
            "telephone_number": "814-886-8393",
            "fax_number": "814-886-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRINE",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresson, PA

Sources for this page

Verify at the official NPI Registry.