Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Maddalena, LDO

Individual provider Optician · NPI 1518823863

Mark Maddalena, LDO is an Optician in Monroe, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

288 Larkin Dr
Monroe, NY 10950-4911
Phone: (845) 783-1112
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 010766 (NY)

Record details

NPI number1518823863
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedDecember 30, 2025
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address3 Ridings Ln, Chester, NY 10918-2444

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