Individual provider Active NPI

Joseph C Scaruzzo, OD

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1003938945
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001801 Issued in PA
Practice address
6781 Grayson Rd
Harrisburg, PA 17111-5138
Phone
(717) 558-4214
Fax
(717) 558-4215
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001801 PA Primary

Addresses

Primary practice location

6781 Grayson Rd
Harrisburg, PA 17111-5138

Mailing address

6781 Grayson Rd
Harrisburg, PA 17111-5138
Phone (717) 558-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001801PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hockman Family Eye Care, P.C. Optometrist PastSince Nov 21, 2012 Accepting new patients
Eye Expressions Optical, Inc Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1003938945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6781 GRAYSON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115138",
            "telephone_number": "717-558-4214",
            "fax_number": "717-558-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6781 GRAYSON RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171115138",
            "telephone_number": "717-558-4214",
            "fax_number": "717-558-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARUZZO",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.