Individual provider Active NPI

Nicholas John Ciotti, OD

  • Optometrist
  • Kalamazoo, MI
National Provider Identifier
1023530185
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5461 Issued in FL
Practice address
575 N Drake Rd
Kalamazoo, MI 49009-1169
Phone
(269) 382-5942
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5461 FL Primary

Addresses

Primary practice location

575 N Drake Rd
Kalamazoo, MI 49009-1169

Mailing address

2508 Culbreath Cove CT
Valrico, FL 33596-6387
Phone (228) 424-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171227000550 MI Practitioner - Optometry 4688932403 Reassigns benefits to 1 organization
I20190924001780 FL Practitioner - Optometry 4688932403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ciotti Vision LLCGroup PAC ID 1254704026, 2 clinicians

Practice addresses (Care Compare)

13446 Boyette Rd
Riverview, FL 33569-5706
Phone (813) 212-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5461FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ciotti Vision, LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

13446 Boyette Rd
Riverview, FL 33569
Phone (813) 212-7400

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": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1023530185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 CULBREATH COVE CT",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966387",
            "telephone_number": "228-424-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091169",
            "telephone_number": "269-382-5942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIOTTI",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.