Individual provider Active NPI

John P. Maszczak, O.D.

  • Optometrist
  • Columbus, OH
National Provider Identifier
1659304947
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5562 Issued in OH
Practice address
1421 Grandview Ave
Columbus, OH 43212-2853
Phone
(614) 488-2020
Fax
(614) 488-0763
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5562 OH Primary

Addresses

Primary practice location

1421 Grandview Ave
Columbus, OH 43212-2853

Mailing address

1421 Grandview Ave
Columbus, OH 43212-2853
Phone (614) 488-2020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060918000028 OH Practitioner - Optometry 6305841875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio State UniversityGroup PAC ID 6103866207, 42 clinicians

Practice addresses (Care Compare)

1664 Neil Ave
Columbus, OH 43201-2333
Phone (614) 292-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio State University CurrentSince Jul 1, 2006 Accepting new patients
Ohio State University Optometrist CurrentSince Jul 1, 2006 Accepting new patients
DWB, Inc Optometrist PastSince Jul 18, 2005 Accepting new patients
Eye Designs New Albany, Inc Optometrist Past Accepting new patients
Ohio State University Past Accepting new patients

Locations

338 W 10th Ave
Columbus, OH 43210
Phone (614) 292-2020

1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020

1025 Refugee Rd
Ste 250
Pickerington, OH 43147
Phone (614) 293-8617

1800 Zollinger Rd
Ste 1500
Upper Arlington, OH 43221
Phone (614) 366-3937

Organizations & group practices 5

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1659304947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122853",
            "telephone_number": "614-488-2020",
            "fax_number": "614-488-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 GRANDVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122853",
            "telephone_number": "614-488-2020",
            "fax_number": "614-488-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASZCZAK",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.