Individual provider Active NPI

Kenneth A Giusto, O.D.

  • Optometrist
  • Akron, OH
National Provider Identifier
1083846943
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5862-T2776 Issued in OH
Practice address
3510 Manchester Rd
Akron, OH 44319-1415
Phone
(330) 630-9699
Fax
(330) 644-0187
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5862-T2776 OH Primary

Addresses

Primary practice location

3510 Manchester Rd
Akron, OH 44319-1415

Mailing address

518 West Ave
Tallmadge, OH 44278-2117
Phone (330) 630-9699

Other identifiers 4

IdentifierTypeStateIssuer
000000633789OtherOHANTHEM
5862-T2776OtherOHOHIO LICENSE
2988343MedicaidOH
P00823294OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20171128001426 VA Practitioner - Optometry 7810033941 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Dr Andrew C Kartesz and Assoc PCGroup PAC ID 9335356518, 4 clinicians
Kartesz Family Eye Care IncGroup PAC ID 5991955213, 4 clinicians
Kartesz Eye Associates IncGroup PAC ID 9638456155, 5 clinicians

Practice addresses (Care Compare)

3260 Electric Rd
Suite 505
Roanoke, VA 24018-6400
Phone 54056234581

365 Tanyard Rd
Rocky Mount, VA 24151-1531
Phone (540) 483-5256

4922 Valley View Blvd NW
Roanoke, VA 24012-2036
Phone (540) 685-0200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5862-T2776OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kartesz Eye Associates Inc. Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Kartesz Family Eye Care Inc Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Friedrichs Family Eye Center PC Optometrist CurrentSince Sep 1, 2017 Accepting new patients
Friedrichs Family Eye Center PC Optometrist CurrentSince Sep 1, 2017 Accepting new patients
Dr Andrew C Kartesz and Assoc PC Optometrist CurrentSince Jun 1, 2020 Accepting new patients

Locations

1975 Virginia Ave
Martinsville, VA 24112
Phone (276) 647-3937

4922 Valley View Blvd NW
Roanoke, VA 24012
Phone (540) 562-3458

3260 Electric Rd
Ste 505
Roanoke, VA 24018
Phone (540) 562-3458

365 Tanyard Rd
Rocky Mount, VA 24151
Phone (540) 483-5256

Organizations & group practices 5

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1083846943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WEST AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782117",
            "telephone_number": "330-630-9699",
            "fax_number": "330-630-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MANCHESTER RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191415",
            "telephone_number": "330-630-9699",
            "fax_number": "330-644-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUSTO",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5862-T2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000633789",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "5862-T2776",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2988343",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00823294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.