Individual provider Active NPI

John A. Guzzetti, O.D.

  • Optometrist
  • Beaver, PA
National Provider Identifier
1114922234
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001533 Issued in PA
Practice address
212 State Avenue
Beaver, PA 15009-1728
Phone
(724) 774-7559
Fax
(724) 774-6557
NPI assigned
Jun 15, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001533 PA Primary
Corneal and Contact Management Optometrist 152WC0802X OEG001533 PA

Addresses

Primary practice location

212 State Avenue
Beaver, PA 15009-1728

Mailing address

212 State Ave
Beaver, PA 15009-1728
Phone (724) 774-7559

Other identifiers 2

IdentifierTypeStateIssuer
000904967003MedicaidPA
GU150883OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070510000343 PA Practitioner - Optometry 6709982523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guzzetti Optometric Services PCGroup PAC ID 5193822591, 2 clinicians

Practice addresses (Care Compare)

212 State Ave
Beaver, PA 15009-1728
Phone (724) 774-7559

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001533PAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Guzzetti Optometric Services, P.C. Optometrist CurrentSince Jul 19, 1993 Accepting new patients
Montgomery Renal Associates P.a. Past Accepting new patients

Locations

212 State Ave
Beaver, PA 15009
Phone (724) 774-7559

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114922234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 STATE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091728",
            "telephone_number": "724-774-7559",
            "fax_number": "724-774-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STATE AVENUE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091728",
            "telephone_number": "724-774-7559",
            "fax_number": "724-774-6557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZZETTI",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001533",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000904967003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "GU150883",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.