Individual provider Active NPI

Frank A Carusone, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1053764803
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3296 Issued in TN
Practice address
715 Callahan Dr
Knoxville, TN 37912-1302
Phone
(865) 687-1232
Fax
(865) 687-8256
NPI assigned
Jul 18, 2016
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007017 OH
Sports Vision Optometrist 152WS0006X 3296 TN
Vision Therapy Optometrist 152WV0400X 3296 TN
Optometrist 152W00000X 3296 TN Primary

Addresses

Primary practice location

715 Callahan Dr
Knoxville, TN 37912-1302

Mailing address

715 Callahan Dr
Knoxville, TN 37912-1302
Phone (865) 687-1232

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
I20220205000089 OH Practitioner - Optometry 6002101474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

1074 W McPherson Hwy
Clyde, OH 43410-1002
Phone (419) 547-9126

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3296TNMDChiropractor
007017OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Ohio Professional PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Aeg Ohio Professional PC Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1074 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-9126

7200 Mentor Ave
Mentor, OH 44060
Phone (440) 946-8809

33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020

1200 E Campbell Rd
Ste 108
Richardson, TX 75081
Phone (972) 370-5552

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1053764803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CALLAHAN DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121302",
            "telephone_number": "865-687-1232",
            "fax_number": "865-687-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CALLAHAN DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379121302",
            "telephone_number": "865-687-1232",
            "fax_number": "865-687-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSONE",
        "first_name": "FRANK",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "007017",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TN",
            "license": "3296",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TN",
            "license": "3296",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.