Individual provider Active NPI

Matthew Mastrine, O.D.

  • Optometrist
  • Ebensburg, PA
National Provider Identifier
1902069834
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002073 Issued in PA
Practice address
415 Forest Dr
Ebensburg, PA 15931-1703
Phone
(814) 472-8000
Fax
(814) 472-5778
NPI assigned
Jul 10, 2008
Last updated
Jan 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002073 PA Primary

Addresses

Primary practice location

415 Forest Dr
Ebensburg, PA 15931-1703

Mailing address

415 Forest Dr
Ebensburg, PA 15931-1703
Phone (814) 472-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20120301000161 PA Practitioner - Optometry 4082872544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pittsburgh Eye Institute LLCGroup PAC ID 1355347162, 3 clinicians

Practice addresses (Care Compare)

1675 Route 51
Jefferson Hills, PA 15025-3666
Phone (412) 382-7155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pittsburgh Eye Institute LLC CurrentSince Sep 12, 2016 Accepting new patients

Locations

1675 Route 51
Jefferson Hls, PA 15025
Phone (412) 382-7155

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1902069834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 FOREST DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311703",
            "telephone_number": "814-472-8000",
            "fax_number": "814-472-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 FOREST DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159311703",
            "telephone_number": "814-472-8000",
            "fax_number": "814-472-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRINE",
        "first_name": "MATTHEW",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

Verify at the official NPI Registry.