Carminie Mazzarella, R.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

4717 Issued in MA

Practice address

739 Broadway
Saugus, MA 01906-3207

Phone

(781) 231-1097

NPI assigned

Jul 22, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nev Burlington LLC

  • Durable Medical Equipment & Medical Supplies
  • Burlington, MA
  • NPI 1942819172
  NPD
• New England Vision Inc

  • Optician
  • Saugus, MA
  • NPI 1023167277
  NPD

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1912137076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063207",
            "telephone_number": "781-231-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 BROADWAY",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019063207",
            "telephone_number": "781-231-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLA",
        "first_name": "CARMINIE",
        "name_prefix": "Mr.",
        "credential": "R.D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MA",
            "license": "4717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11013221A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Mantha
• Tanya Markos, FNP
• Allison Mars, MS RD LDN
• Mass Optometric Associates, PLLC
• Thomas John Maybury, DPT
• Anne Frances McAllister
• Richard McCulley, H.I.S.
• Riley McDougall, DMD
• Matthew Michael McGovern, D.C.
• Mary McGuigan

• Optician in Saugus, MA
• Providers in Saugus, MA by specialty
• Optician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.