Organization Active NPI

Andrew S Jusko MD PC

  • Eyewear Supplier
  • Springfield, MA
National Provider Identifier
1043785363
Registry record updated Oct 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
ANDREW S JUSKO MD PC
Practice address
299 Carew St Ste 201
Springfield, MA 01104-2360
Phone
(413) 736-1833
NPI assigned
Oct 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2018

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

Authorized official

Name
Dr. Andrew S Jusko, MDNPI 1154332740
Title
President
Phone
(413) 736-1833

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

299 Carew St Ste 201
Springfield, MA 01104-2360

Mailing address

382 N Main St Ste 101
East Longmeadow, MA 01028-1830
Phone (413) 525-8601

Other names 1

  • Eyesight Optical Other name

National Provider Directory

National Provider Directory
Tax ID family
Andrew S Jusko MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539388800000",
    "number": "1043785363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 N MAIN ST STE 101",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281830",
            "telephone_number": "413-525-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 CAREW ST STE 201",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042360",
            "telephone_number": "413-736-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW S JUSKO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2018-10-13",
        "status": "A",
        "authorized_official_last_name": "JUSKO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-736-1833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyesight Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2018; 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.