Mercer Island Eyeworks Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

3980 Issued in WA

Legal business name

MERCER ISLAND EYEWORKS INC

Doing business as

Mercer Island Eyeworks

Practice address

2729 78TH Ave SE
Mercer Island, WA 98040-2816

Phone

(206) 232-3377

Fax

(206) 232-0567

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Corrado Rain Masciocchi, O.D.NPI 1265591051

Title

President

Phone

(206) 232-3377

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercer Island Eyeworks Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corrado Rain Masciocchi, O.D.

  • Optometrist
  • Mercer Island, WA
  • NPI 1265591051
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790813111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 78TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402816",
            "telephone_number": "206-232-3377",
            "fax_number": "206-232-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 78TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402816",
            "telephone_number": "206-232-3377",
            "fax_number": "206-232-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER ISLAND EYEWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MASCIOCCHI",
        "authorized_official_first_name": "CORRADO",
        "authorized_official_middle_name": "RAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-232-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER FOR INDIVIDUAL",
            "identifier": "1265591051",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercer Island Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dina Elaine McNeil, DNP, ARNP
• Meagan M Hyde, LLC
• Krista Lynn Meeks, ARNP
• Mercer Island Acupuncture & Oriental Medicine
• Mercer Island Dermatology PLLC
• Mercer Island Family Medicine, PLLC
• Mercer Island Foot and Ankle Clinic PLLC
• Mercer Island Health and Wellness
• Mercer Island Medical Imaging, LLC
• Mercer Island Pediatric Associates

• Optometrist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.