Bryan J Mazey III, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5101011409 Issued in MI

Practice address

36821 Green St
New Baltimore, MI 48047-1607

Phone

(586) 716-4959

Fax

(586) 716-2936

NPI assigned

Dec 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

Merit-based Incentive Payment System (MIPS)

Final score

99.7 of 100Reported as individual

Quality

100

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Ophthalmology Aquisition PLC

  • Ophthalmology Physician
  • New Baltimore, MI
  • NPI 1730353335
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  Care Compare affiliation

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1730165846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36821 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471607",
            "telephone_number": "586-716-4959",
            "fax_number": "586-716-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36821 GREEN ST",
            "city": "NEW BALTIMORE",
            "state": "MI",
            "postal_code": "480471607",
            "telephone_number": "586-716-4959",
            "fax_number": "586-716-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZEY",
        "first_name": "BRYAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101011409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3508019",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debby Ann Lipka, D.C
• Carrie Ann Littlefield, M.A.CCCSLP
• Jeanne Margaret Lovasco, MS, RD
• Susan Mackenzie
• Khouloud Maroun-Yammine, RN,MSN
• Kaitlyn Marie McCauley, LLMSW
• Michael L Mianecki DDS & John P Carlino DDS PC
• Michigan Audiology & Hearing Center, PLLC
• Sharon Marie Monbleau, LMT
• Theresa Monday, OTR/L

• Ophthalmology Physician in New Baltimore, MI
• Providers in New Baltimore, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.