Maura E Massucci, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

OEG002072 Issued in PA

Practice address

6600 Brooktree Rd
Suite 2800
Wexford, PA 15090-9205

Phone

(724) 719-2712

NPI assigned

Sep 6, 2008

Last updated

Mar 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massucci Vision Plus LLCGroup PAC ID 9436380987, 3 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.

• Massucci Vision Plus LLC

  • Optometrist
  • Wexford, PA
  • NPI 1881017317
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Prazer, OD

  dba Pediatric & Adult Vision Care

  • Optometrist
  • Wexford, PA
  • NPI 1043489461
  NPD (past)

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1710135454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 BROOKTREE RD",
            "address_2": "SUITE 2800",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 BROOKTREE RD",
            "address_2": "SUITE 2800",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909205",
            "telephone_number": "724-719-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSUCCI",
        "first_name": "MAURA",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV007305",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "PA",
            "license": "OEG002072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Taylor Martini, DPT
• Danielle E Martrano, PA
• Jeffrey William Martz, DMD
• Thomas G Mason, CRNA
• Massucci Vision Plus LLC
• Kelly M. Matheis, CRNA
• Xiaoming Matz
• Stephen Joseph Mauro, MS, LAPC, NCC
• Leah Mayhugh, PTA
• Austin Maynard

• Vision Therapy Optometrist in Wexford, PA
• Providers in Wexford, PA by specialty
• Vision Therapy Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.