Provider Type Icon

KIM MCGILLICUDDY MACIASZEK OD NPI 1871577254


NPI Information

NPI: 1871577254
Provider Name: KIM MCGILLICUDDY MACIASZEK, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
426 N MAIN ST
EAST LONGMEADOW, MA
ZIP 01028
Phone: (413) 525-3010
Get Directions

Kim Mcgillicuddy Maciaszek, OD is an optometrist in East Longmeadow, MA with 32 years of experience. The provider is 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. Kim Mcgillicuddy Maciaszek, OD NPI is 1871577254. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year:1992

The provider's business location address is:

426 N MAIN ST
EAST LONGMEADOW, MA
ZIP 01028-850
Phone: (413) 525-3010
Fax: (413) 525-7667

The NPI 1871577254 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 11/30/2005 and was last updated on 3/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist3760MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W17219OTHERMEDICARE B
260892OTHERFALLON COMMUNITY HEALTH
3042472266OTHERTHREE RIVERS
4786726OTHERMVP HEALTH CARE
5AA2839OTHERHARVARD PILGRIM
62212894OTHERFIRST HEALTH
7W16304OTHERBLUE CARE ELECT
8042472266OTHERPRIVATE HEALTHCARE
9042472266015OTHERTRICARE CHAMPUS
10410046213OTHERRAILROAD MEDICARE
110335622MEDICAIDMASSACHUSETTS
127252603OTHERAETNA US HEALTHCARE
138974875OTHERCIGNA HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.