Joseph M Pederzolli LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3433T596 Issued in OH

Legal business name

JOSEPH M PEDERZOLLI LLC

Practice address

32 E Broadway St
Alliance, OH 44601-2647

Phone

(330) 913-7333

Fax

(330) 913-7334

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Pederzolli

Title

Office Manager

Phone

(330) 913-7333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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.

• Joseph M Pederzolli, OD

  • Optometrist
  • Alliance, OH
  • NPI 1306839527
  Medicare reassignment NPD

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1114426707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2938",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446010938",
            "telephone_number": "330-206-9401",
            "fax_number": "330-913-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E BROADWAY ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446012647",
            "telephone_number": "330-913-7333",
            "fax_number": "330-913-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M PEDERZOLLI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "PEDERZOLLI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-913-7333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3433T596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Johnson
• Lindsay Marie Johnson, LPN
• Tina Lynette Johnson
• D Evelyn Jones, LICENSED HEARING AID
• Eddrianna Renee Jones, RN
• Briana Jurecki, MOT, OTR/L
• Just Call Transport LLC
• Hannah M Justice, CT
• Sarah Jean Kager, LPN
• Gail Kaiser

• Optometrist in Alliance, OH
• Providers in Alliance, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.