Individual provider Active NPI

Michael John Macey, O.D.

  • Optometrist
  • Latrobe, PA
National Provider Identifier
1942351648
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000694 Issued in PA
Practice address
1933 Dailey Ave
Latrobe, PA 15650-3087
Phone
(724) 532-3727
Fax
(724) 532-3728
NPI assigned
Jan 16, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000694 PA Primary

Addresses

Primary practice location

1933 Dailey Ave
Latrobe, PA 15650-3087

Mailing address

423 Primrose Dr
Greensburg, PA 15601-9597
Phone (724) 850-8050

Other practice location 1

5256 State Route 30 Ste 970
Sears Optical
Greensburg, PA 15601-7783
Phone (724) 850-8050

Other identifiers 5

IdentifierTypeStateIssuer
0017406OtherPADORAL
49912OtherPADAVIS
199862OtherPABLUECROSSBLUESHIELD
918348OtherPAEYEMED
1804008MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lewis@latrobevision.comcastbiz.net Lewis A Carrarini OD INC

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
I20110217000146 PA Practitioner - Optometry 3072794536 Reassigns benefits to 1 organization
Practice locations: Greensburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

1933 Dailey Ave
Latrobe, PA 15650-3087
Phone (724) 532-3727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000694PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis a Carrarini OD Inc Optometrist CurrentSince Nov 17, 2019 Accepting new patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Dec 7, 2025 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

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

1933 Dailey Ave
Latrobe, PA 15650
Phone (724) 274-9777

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

Organizations & group practices 3

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1942351648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 PRIMROSE DR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156019597",
            "telephone_number": "724-850-8050",
            "fax_number": "724-532-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 DAILEY AVE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503087",
            "telephone_number": "724-532-3727",
            "fax_number": "724-532-3728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5256 State Route 30 Ste 970",
            "address_2": "Sears Optical",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156017783",
            "country_code": "US",
            "telephone_number": "724-850-8050",
            "fax_number": "724-832-9764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACEY",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "0017406",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "49912",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "199862",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "918348",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1804008",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lewis@latrobevision.comcastbiz.net",
            "affiliation": "Y",
            "affiliationName": "Lewis A Carrarini OD INC",
            "address_1": "1933 Dailey Ave",
            "city": "Latrobe",
            "state": "PA",
            "country_code": "US",
            "postal_code": "156503087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.