Maz Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

5877-1 Issued in NY

Legal business name

MAZ OPTICAL, INC

Doing business as

MAZ Optical

Practice address

971 Main St
Suite D
Holbrook, NY 11741-1609

Phone

(631) 471-0600

Fax

(631) 883-3365

NPI assigned

Aug 11, 2009

Last updated

Mar 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marilyn A Peppers, LDO

Title

President

Phone

(631) 471-0600

Specialties & licenses 2

Addresses

Other names 1

• MAZ Optical Doing business as

Locations

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1871725754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 MAIN ST",
            "address_2": "SUITE D",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411609",
            "telephone_number": "631-471-0600",
            "fax_number": "631-883-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 MAIN ST",
            "address_2": "SUITE D",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411609",
            "telephone_number": "631-471-0600",
            "fax_number": "631-883-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZ OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-471-0600",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "5877-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAZ Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marc Mastropolo, LCSW
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• Philip A. Mazzola, D.D.S.
• Brian James McAuley, PHARM D
• Maria M McCarthy, LCSW
• Colleen McCauley, R.N.

• Eyewear Supplier in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Eyewear Supplier in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.