Individual provider Active NPI

Gary J Crapanzano, O.D.

  • Corneal and Contact Management Optometrist
  • Parma, OH
National Provider Identifier
1013909894
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
3529 Issued in OH
Practice address
7630 Broadview Rd
Parma, OH 44134-6745
Phone
(216) 642-5500
Fax
(216) 642-9829
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 3529 OH Primary

Addresses

Primary practice location

7630 Broadview Rd
Parma, OH 44134-6745

Mailing address

7630 Broadview Rd
Parma, OH 44134-6745
Phone (216) 642-5500

Other identifiers 1

IdentifierTypeStateIssuer
0469050MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110217000121 OH Practitioner - Optometry 3678688074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7630 Broadview Rd
Parma, OH 44134-6745
Phone (216) 642-5500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3529OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pleasant Valley Eyecare Corneal and Contact Management CurrentSince May 4, 1993 Accepting new patients

Locations

7630 Broadview Rd
Parma, OH 44134
Phone (216) 574-8900

Organizations & group practices 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1013909894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346745",
            "telephone_number": "216-642-5500",
            "fax_number": "216-642-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346745",
            "telephone_number": "216-642-5500",
            "fax_number": "216-642-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAPANZANO",
        "first_name": "GARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "3529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.