Individual provider Active NPI

Melissa Marie Kuzo, OD

  • Optometrist
  • York, PA
National Provider Identifier
1124471669
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003168 Issued in PA
Practice address
2820 Whiteford Rd Ste 6
York, PA 17402-7625
Phone
(717) 470-0650
Fax
(717) 470-0655
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003168 PA Primary

Addresses

Primary practice location

2820 Whiteford Rd Ste 6
York, PA 17402-7625

Mailing address

2820 Whiteford Rd Ste 6
York, PA 17402-7625
Phone (717) 470-0650

Other names 1

  • Melissa Marie Debello Former name

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
I20170619000116 PA Practitioner - Optometry 8123396009 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2820 Whiteford Rd
Suite 6
York, PA 17402-7625
Phone (717) 470-0650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003168PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Sandra M Krokos & Thomas P Kislan PC Optometrist CurrentSince Jul 31, 2017 Accepting new patients
Kuzo Eye Care LLC Optometrist CurrentSince Sep 26, 2022 Accepting new patients
DRS Sandra M Krokos & Thomas P Kislan PC Optometrist CurrentSince Jul 31, 2017 Accepting new patients

Locations

281 Airport Rd
Hazle Township, PA 18202
Phone (570) 453-2020

2942 Route 611
Ste 105
Tannersville, PA 18372
Phone (570) 421-3342

2820 Whiteford Rd
Ste 6
York, PA 17402
Phone (717) 470-0650

Organizations & group practices 4

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1124471669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 WHITEFORD RD STE 6",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174027625",
            "telephone_number": "717-470-0650",
            "fax_number": "717-470-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 WHITEFORD RD STE 6",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174027625",
            "telephone_number": "717-470-0650",
            "fax_number": "717-470-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZO",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DEBELLO",
            "middle_name": "MARIE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.