Individual provider Active NPI

Angelo Gagliani, O.D.

  • Optometrist
  • Parma, OH
National Provider Identifier
1033101779
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OH4838 Issued in OH
Practice address
8251 Day Dr
Parma, OH 44129-5609
Phone
(440) 885-0406
Fax
(440) 885-0417
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OH4838 OH Primary

Addresses

Primary practice location

8251 Day Dr
Parma, OH 44129-5609

Mailing address

19905 Echo Dr
Strongsville, OH 44149-6009
Phone (440) 878-9272

Other identifiers 1

IdentifierTypeStateIssuer
19930OtherCOLE PROVIDER I.D.

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
I20100916000355 OH Practitioner - Optometry 1557486388 Reassigns benefits to 1 organization
Practice locations: Parma, OH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Dr. George D. Poulos and Associates, Inc.Group PAC ID 1850395179, 10 clinicians

Practice addresses (Care Compare)

832 Great Northern Mall
North Olmsted, OH 44070-3300
Phone (440) 777-9904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OH4838OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. George D. Poulos & Associates, Inc. Optometrist CurrentSince Jan 29, 2020 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

832 Great Northern Mall
North Olmsted, OH 44070
Phone (440) 777-3097

122 Southpark Ctr
Strongsville, OH 44136
Phone (440) 572-1666

17090 Royalton Rd
Strongsville, OH 44136
Phone (440) 572-4421

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033101779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19905 ECHO DR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441496009",
            "telephone_number": "440-878-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 DAY DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295609",
            "telephone_number": "440-885-0406",
            "fax_number": "440-885-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIANI",
        "first_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH4838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE PROVIDER I.D.",
            "identifier": "19930",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.