MASTERMAN EYE CARE (NPI# 1639393077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639393077 |
| Entity Type | Organization |
| Organization Name | MASTERMAN EYE CARE |
| Practice Address |
8934 N Seneca St Weedsport NY 13166-8566 |
| Mailing Address |
8934 N Seneca St P O Box 678 Weedsport NY 13166-8566 |
| Practice Telephone | 3158348941 |
| Mailing Telephone | 3158348941 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEPHANIE MASTERMAN (OWNER) |
| Authorized Official Telephone | 3158349841 |
| Authorized Official Credential | OPT. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02186423 | 05 | |
| NY | 00610302 | 05 |
| Street Address |
8934 N SENECA ST |
| City | WEEDSPORT |
| State | NY |
| Zip Code | 13166-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558450353 | Stephanie Ann Masterman | Technician/Technologist | 8934 N Seneca St, Weedsport, NY 13166-8566 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053673467 | Amanda Jo Moffitt | Licensed Practical Nurse | 3619 Chamberlin Rd., Weedsport, NY 13166 | 2012-06-12 |
| 1275717415 | Michelle Maginn | Pharmacist | 2783 Nys Route 31, Weedsport, NY 13166 | 2007-12-24 |
| 1952599920 | Patricia Ann Jones | Registered Nurse | 2802 Sharon St, Weedsport, NY 13166 | 2007-10-04 |
| 1215046123 | Kimberly H Fortin | Social Worker | 2693 East Brutus Street, Weedsport, NY 13166 | 2006-08-30 |
| 1538276712 | Kph Healthcare Services, Inc. | Pharmacy | 2783 Nys Rt 31, Weedsport, NY 13166 | 2006-08-24 |
| 1760499495 | Melanie J Raymond | Physical Therapist | 2685 Erie Dr, Raymond Physical Therapy Pllc, Weedsport, NY 13166 | 2006-08-02 |
| 1821310681 | Jeremy M Carr | Pharmacist | 2783 Nys Route 31, Weedsport, NY 13166 | 2010-02-22 |
| 1548816564 | Sierra Jaeger | Student in an Organized Health Care Education/Training Program | 3 Cedar Ln, Weedsport, NY 13166-3119 | 2019-08-15 |
| 1568634129 | April M Russell | Licensed Practical Nurse | 30 Woodside Ln, Weedsport, NY 13166-3147 | 2008-03-24 |
| 1548318967 | Christine Roth Gutelius | Dietitian, Registered | 2523 State Route 31, Weedsport, NY 13166-3202 | 2007-01-08 |
| Find all providers in zip 13166 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 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.