Active NPI
Brian Anthony Matuszak, O.D
- Optometrist
- Lancaster, NY
National Provider Identifier
1720167661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006781
- Practice address
- 5430 Broadway St
Lancaster, NY 14086-2124 - Phone
- (716) 685-4050
- Fax
- (716) 685-2873
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006781 | NY | Primary |
Addresses
Primary practice location
5430 Broadway St
Lancaster, NY 14086-2124
Mailing address
396 Woodlin Ave
North Tonawanda, NY 14120-4743
Phone (716) 692-6552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006781 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Francis Optical Co.Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1720167661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 WOODLIN AVE",
"city": "NORTH TONAWANDA",
"state": "NY",
"postal_code": "141204743",
"telephone_number": "716-692-6552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 BROADWAY ST",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140862124",
"telephone_number": "716-685-4050",
"fax_number": "716-685-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATUSZAK",
"first_name": "BRIAN",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.