Individual provider Active NPI

Carla K Mariscotti, OD

  • Optometrist
  • Hershey, PA
National Provider Identifier
1902890155
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000191 Issued in PA
Practice address
2 Briarcrest SQ
Hershey, PA 17033-2359
Phone
(717) 533-2362
Fax
(717) 534-2357
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000191 PA Primary

Addresses

Primary practice location

2 Briarcrest SQ
Hershey, PA 17033-2359

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other identifiers 2

IdentifierTypeStateIssuer
01816701OtherBLUE CROSS
434111OtherBLUE SHIELD

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
I20110103000107 PA Practitioner - Optometry 6305058967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morrison Eye Associates IncGroup PAC ID 9335127125, 4 clinicians
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

2 Briarcrest SQ
Hershey, PA 17033-2359
Phone (717) 533-2362

235 Division St
Harrisburg, PA 17110-1213
Phone (717) 233-8783

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Eye Associates Inc Optometrist CurrentSince Jun 7, 1979 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Dec 1, 2022 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Dec 7, 2025 Accepting new patients

Locations

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

235 Division St
Harrisburg, PA 17110
Phone (717) 223-8783

2 Briarcrest Sq
Hershey, PA 17033
Phone (717) 533-2362

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1902890155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRIARCREST SQ",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332359",
            "telephone_number": "717-533-2362",
            "fax_number": "717-534-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISCOTTI",
        "first_name": "CARLA",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01816701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "434111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.