Craig a. Smargiasso OD LLC
Organization Active NPI Optometrist · Aurora, OH
NPI 1174869895 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1174869895
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 5897/T2811 (OH)
- Legal business name
- CRAIG A. SMARGIASSO OD LLC
- Practice address
- 220 S Chillicothe Rd
Aurora, OH 44202-8805 - Phone
- (330) 348-0269
- Fax
- (330) 348-0794
- NPI assigned
- Dec 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Craig Alan Smargiasso, O.D.
- Title
- Member
- Phone
- (724) 456-4842
Practitioners 1
-
Craig A Smargiasso, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130206000610 | OH | Part B Supplier - Clinic/Group Practice | 9133373707 |
Receives reassigned benefits from 1 practitioner Practice locations: Aurora, OH |
National Provider Directory
Locations
220 S Chillicothe Rd
Aurora, OH 44202
Phone (330) 348-0269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 5897/T2811 | OH | Yes |
Addresses
Primary practice location
220 S Chillicothe Rd
Aurora, OH 44202-8805
Mailing address
220 S Chillicothe Rd
Aurora, OH 44202-8805
Phone (330) 348-0269
Other providers in Aurora, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.