Mariana Dalecio Maeda, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009192 Issued in NY

Practice address

235 Washington St Ste 1
Saratoga Springs, NY 12866-5963

Phone

(518) 587-5900

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

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 NY

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

State University of New York - State College Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saratoga Optometric Assoc, PCGroup PAC ID 5294821724, 7 clinicians

Richard C Malara OD PCGroup PAC ID 7719965839, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Saratoga Optometric Assoc, PC

  • Optometrist
  • Saratoga Springs, NY
  • NPI 1942344148
  Medicare reassignment Care Compare group
• Richard C. Malara, OD PC

  • Optometrist
  • Baldwinsville, NY
  • NPI 1336346550
  Care Compare group

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1780292037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WASHINGTON ST STE 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665963",
            "telephone_number": "518-587-5900",
            "fax_number": "518-587-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WASHINGTON ST STE 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665963",
            "telephone_number": "518-587-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDA",
        "first_name": "MARIANA",
        "middle_name": "DALECIO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Mackey, PT
• Madison Mackinnon, PA-C
• Catherine Susan Madigan, LCSW-R
• Heather Madigan, DO
• Nicole Madison, RN
• Eamon Mahoney
• Rebecca Mary Mahoney, RD,CDN
• Barry Oscar Maisel, MD
• William J. Malone, M.D.
• Paris Lindsay Maney, FNP-BC

• Optometrist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.