Individual provider Active NPI

Joseph D Cussatt

  • Optician
  • West Hazleton, PA
National Provider Identifier
1154757169
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
601 N Broad St
West Hazleton, PA 18202-1551
Phone
(570) 455-1100
Fax
(570) 455-1101
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/Technologist 156FC0800X
Optician 156FX1800X Primary

Addresses

Primary practice location

601 N Broad St
West Hazleton, PA 18202-1551

Mailing address

601 N Broad St
West Hazleton, PA 18202-1551
Phone (570) 455-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cussatt Eyewear Optician Past Accepting new patients
Cussatt Optical Optician Past Accepting new patients

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1154757169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N BROAD ST",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "182021551",
            "telephone_number": "570-455-1100",
            "fax_number": "570-455-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N BROAD ST",
            "city": "WEST HAZLETON",
            "state": "PA",
            "postal_code": "182021551",
            "telephone_number": "570-455-1100",
            "fax_number": "570-455-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSSATT",
        "first_name": "JOSEPH",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hazleton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.