Organization Active NPI

Akron Oculoplastics, Inc.

  • Specialist
  • Fairlawn, OH
National Provider Identifier
1104957497
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35055789 Issued in OH
Legal business name
AKRON OCULOPLASTICS, INC.
Doing business as
Akron Oculoplastics, Inc.
Practice address
3075 Smith Rd Ste 104
Fairlawn, OH 44333-4453
Phone
(330) 374-6666
Fax
(330) 375-5340
NPI assigned
Mar 8, 2007
Last updated
Mar 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Dr. Anthony J Locastro, M.D.
Title
President
Phone
(330) 374-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35055789 OH Primary

Addresses

Primary practice location

3075 Smith Rd Ste 104
Fairlawn, OH 44333-4453

Mailing address

3075 Smith Rd Ste 104
Fairlawn, OH 44333-4453
Phone (330) 374-5666

Other identifiers 1

IdentifierTypeStateIssuer
0876342MedicaidOH

Other names 1

  • Akron Oculoplastics, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

300 Locust St
Ste 400
Akron, OH 44302
Phone (330) 374-5666

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1104957497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 SMITH RD STE 104",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334453",
            "telephone_number": "330-374-5666",
            "fax_number": "330-375-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 SMITH RD STE 104",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334453",
            "telephone_number": "330-374-6666",
            "fax_number": "330-375-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON OCULOPLASTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "LOCASTRO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-374-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35055789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0876342",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akron Oculoplastics, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.