Individual provider Active NPI

Michael B Maizel, OD

  • Optometrist
  • Lansdowne, PA
National Provider Identifier
1902829518
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000100 Issued in PA
Practice address
20 E Baltimore Ave
Lansdowne, PA 19050-2202
Phone
(610) 623-1127
Fax
(484) 461-8618
NPI assigned
Jul 25, 2006
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000100 PA Primary

Addresses

Primary practice location

20 E Baltimore Ave
Lansdowne, PA 19050-2202

Mailing address

20 E Baltimore Ave
Lansdowne, PA 19050-2202
Phone (610) 623-1127

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
I20040909000019 PA Practitioner - Optometry 4880660133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 E Baltimore Ave
Lansdowne, PA 19050-2202
Phone (610) 623-1127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000100PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lansdowne Optometric Associates Optometrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

20 E Baltimore Ave
Lansdowne, PA 19050
Phone (610) 623-1127

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17329/brand/1/csg/1/fhir/r4

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1902829518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E BALTIMORE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502202",
            "telephone_number": "610-623-1127",
            "fax_number": "484-461-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E BALTIMORE AVE",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502202",
            "telephone_number": "610-623-1127",
            "fax_number": "484-461-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIZEL",
        "first_name": "MICHAEL",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

Verify at the official NPI Registry.