Active NPI
Bradley Ortisi, OD
- Optometrist
- Zanesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT.007149
- Practice address
- 2315 Maple Ave
Zanesville, OH 43701-2028 - Phone
- (740) 453-1611
- Fax
- (740) 450-7680
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT.007149 | OH | Primary |
Addresses
Primary practice location
2315 Maple Ave
Zanesville, OH 43701-2028
Mailing address
2315 Maple Ave
Zanesville, OH 43701-2028
Phone (740) 453-1611
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6472 Winchester Blvd
Canal Winchester, OH 43110-2004
Phone (614) 837-9595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT.007149 | OH | MD | Optometrist |
| 7419 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Aeg Ohio Professional PC | Optometrist | Current | Accepting new patients |
| Robert J. Dittoe, O.D., Inc. | Optometrist | Past | Accepting new patients |
Locations
6472 Winchester Blvd
Canal Wnchstr, OH 43110
Phone (614) 837-9595
9755 Fairway Dr
Powell, OH 43065
Phone (614) 336-2020
33541 Aurora Rd
Solon, OH 44139
Phone (440) 248-2020
888 E Court St
Urbana, OH 43078
Phone (937) 652-1144
Organizations & group practices 3
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.
-
- Optometrist
- Solon, OH
- NPI 1154980811
-
- Optometrist
- New Lexington, OH
- NPI 1710064894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1114619426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012028",
"telephone_number": "740-453-1611",
"fax_number": "740-450-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 MAPLE AVE",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012028",
"telephone_number": "740-453-1611",
"fax_number": "740-450-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTISI",
"first_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OPT.007149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
- Tracey Orr
- Orrmd, Inc. (Muskingum Pediatrics and Urgent Care)
- Orrmdinc (MUskingum Pediatrics)
- Orthopaedic Associates of Zanesville Inc
- Orthopaedic Associates of Zanesville Inc.
- Samantha Lynn Orwig, BEHAVIOR TECHNICIAN
- Chester Osborn, MD
- Barbara Gene Ostrander, CFNP
- Erin Marie Ours, AAS, QMHS
- Out of the Darkness Outreach, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.