MARK M MASTERVICH SR.


Address: 3501 Paxton St Unit H2, Harrisburg, PA 17111-1483
Phone: 7175616000

MARK M MASTERVICH SR. (NPI# 1487784203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487784203
Entity Type Individual
Full Name MARK M MASTERVICH SR.
Credential O.D.
Practice Address 3501 Paxton St Unit H2
Harrisburg
PA 17111-1483
Practice Telephone 7175616000
Practice Fax Number 7175611090
Mailing Telephone 7175616000
Mailing Fax Number 7175611090
Enumeration Date 2007-03-07
Last Update Date 2012-02-15
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OEG000513 PA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 0019058330002 05

Office Location

Street Address 3501 PAXTON ST UNIT H2
City HARRISBURG
State PA
Zip Code 17111-1483

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336107259 L&h Eyecare Inc. Eyewear Supplier (Equipment, not the service) 3501 Paxton St Unit H2, Harrisburg Mall, Harrisburg, PA 17111-1483 2006-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417589011 Brightwood Adult Day Care LLC Clinic/Center 5630 Derry Street, Harrisburg, PA 17111 2020-02-11
1114486008 Candy Benson Behavior Technician 2225 Sycamore St Suite 240, Harrisburg, PA 17111 2019-03-19
1295203206 Shannon Ingram Behavior Technician 2225 Sycamore St Suite 120, Harrisburg, PA 17111 2018-11-07
1255862678 A Caring Hand Home Health Care LLC Home Health 5600 Derry St, Harrisburg, PA 17111 2017-03-27
1073067559 Migliore Treatment Services LLC Community/Behavioral Health 60 S 41st St, Harrisburg, PA 17111 2016-08-12
1013384718 Alina N Glazunova Nurse Practitioner 6010 Pindeale Court, Harrisburg, PA 17111 2015-08-28
1033551494 Elizabeth Ann Campbell Behavioral Analyst 2225 Sycamore Street, Suite 120, Harrisburg, PA 17111 2013-07-25
1427320688 Joseph J Trautlein Allergy & Immunology 6450 Colchester Ave, Harrisburg, PA 17111 2012-02-03
1083983019 Bonsall Manfredi & Assoc, P.C. Psychiatry & Neurology 2600 Woodlawn Street, Harrisburg, PA 17111 2011-12-20
1083920045 Mh Medical LLC Durable Medical Equipment & Medical Supplies 7412 Derry Street, Harrisburg, PA 17111 2010-08-27
Find all providers in zip 17111

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043692171 Danielle Nicole Renda Optometrist Route 22 and Colonial Rd, Suite 74, Harrisburg, PA 17109-6235 2015-06-25
1952666406 Chantel Nicole Garcia Tarbett Optometrist 4350 Main St Ste 107, Harrisburg, NC 28075-7439 2012-07-11
1225348899 Ashley Dominique Hudson Optometrist Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 2010-10-18
1699941963 Christine E. Gavett Optometrist 13020 N Route E, Harrisburg, MO 65256 2008-05-06
1225234453 John D Boer Optometrist 220 S Cliff Ave Ste 102, Harrisburg, SD 57032-2117 2007-06-25
1972626935 David J Bryden Optometrist 6021 Allentown Blvd, Harrisburg, PA 17112-2602 2007-04-06
1407998982 Kimberly A Zimmerman Optometrist 2745 N Front St, Harrisburg, PA 17110-1265 2007-02-13
1063569036 Optometry Associates, P.C. Optometrist 4392 Sturbridge Drive, Harrisburg, PA 17110-3670 2007-01-04
1851457030 Heather Anne Bourdeau Optometrist 1130 South 19th Street, Harrisburg, PA 17104 2006-12-29
1932263738 Darcy L Williams Optometrist 4240 Elmerton Ave, Harrisburg, PA 17109-2317 2006-12-19
Find all providers in HARRISBURG

Competitor

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City HARRISBURG
Zip Code 17111

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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