Individual provider Active NPI

James Patrick Bozzuto, O.D.

  • Optometrist
  • Pittston, PA
National Provider Identifier
1154381390
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000521 Issued in PA
Practice address
6 N Main St
Pittston, PA 18640-1806
Phone
(570) 654-2020
Fax
(570) 655-6516
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000521 PA Primary
Durable Medical Equipment & Medical Supplies 332B00000X OEG000521 PA

Addresses

Primary practice location

6 N Main St
Pittston, PA 18640-1806

Mailing address

6 N Main St
Pittston, PA 18640-1806
Phone (570) 654-2020

Other identifiers 1

IdentifierTypeStateIssuer
001191542MedicaidPA

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
I20110111000744 PA Practitioner - Optometry 4486767555 Practice locations: Pittston, PA

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

Practice addresses (Care Compare)

6 N Main St
Pittston, PA 18640-1806
Phone (570) 654-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
James Patrick Bozzuto Durable Medical Equipment & Medical Supplies PastSince Aug 15, 1994 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jbozzuto@jbozzuto.emadirect.md

Organizations & group practices 1

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1154381390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401806",
            "telephone_number": "570-654-2020",
            "fax_number": "570-655-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401806",
            "telephone_number": "570-654-2020",
            "fax_number": "570-655-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZUTO",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000521",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "OEG000521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001191542",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

Verify at the official NPI Registry.