Active NPI
Joseph D Cussatt
- Optician
- West Hazleton, PA
National Provider Identifier
1154757169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- 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, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.
-
- Optician
- West Hazleton, PA
- NPI 1164895611
-
- Optician
- West Hazleton, PA
- NPI 1306210380
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.