Brandon Randall Maceyko, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.006756 Issued in OH

Practice address

8004 South Ave
Boardman, OH 44512-6153

Phone

(330) 726-1616

Fax

(330) 726-1682

NPI assigned

May 22, 2019

Last updated

May 22, 2019By the provider in NPPES

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 OH

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Catchers Optical LLCGroup PAC ID 7810400652, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Catchers Optical LLC

  • Optometrist
  • Columbiana, OH
  • NPI 1043006778
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1649837964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 SOUTH AVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126153",
            "telephone_number": "330-726-1616",
            "fax_number": "330-726-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8004 SOUTH AVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126153",
            "telephone_number": "330-726-1616",
            "fax_number": "330-726-1682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 Columbiana Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Columbiana",
            "state": "OH",
            "postal_code": "444089457",
            "country_code": "US",
            "telephone_number": "330-482-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACEYKO",
        "first_name": "BRANDON",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Joseph Lynx
• Chris Lyons, RPH
• Michael C Lyons, DC
• Thomas Donald Macabobby, M.D.
• Kimberly Anne Macdonald
• Robin M Maceyko, O.D.
• Ryan Michael Maceyko, OD
• Jennifer Mackovick, LPCC-S
• Aimee Michelle Madden, PA
• Cecelia Maderitz, BCBA

• Optometrist in Boardman, OH
• Providers in Boardman, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.