Active NPI
Gary J Crapanzano, O.D.
- Corneal and Contact Management Optometrist
- Parma, OH
National Provider Identifier
1013909894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3529
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469050 | Medicaid | OH |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3529 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pleasant Valley Eyecare | Corneal and Contact Management | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.