Kenneth F. Nuzzo, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT593 Issued in ME

Legal business name

KENNETH F. NUZZO, O.D., P.A.

Practice address

31 Water St
Hallowell, ME 04347-1440

Phone

(207) 622-3015

Fax

(207) 622-1299

NPI assigned

Oct 9, 2006

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth F. Nuzzo, O.D.NPI 1194909853

Title

Owner

Phone

(207) 622-3015

Specialties & licenses 1

Addresses

Other identifiers 9

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Fred Nuzzo, O.D.

  • Optometrist
  • Hallowell, ME
  • NPI 1194909853
  Authorized official Same address or phone
• Ryan M Hogan, OD

  • Optometrist
  • Waterville, ME
  • NPI 1629180120
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1184711319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WATER ST",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "043471440",
            "telephone_number": "207-622-3015",
            "fax_number": "207-622-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WATER ST",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "043471440",
            "telephone_number": "207-622-3015",
            "fax_number": "207-622-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH F. NUZZO, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "NUZZO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-622-3015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115450000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD0505",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "M63500",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MNT779",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLANS, INC.",
            "identifier": "MNT779",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "005177",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL ANTHEM BCBS",
            "identifier": "005177",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTHCARE",
            "identifier": "1041458",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410007801",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Laighton Harvey, PH.D.
• Hillside Terrace of Hallowell, LLC
• Lisa M. Jaskowski, M.A. CCC-SLP
• Jeanette C Jones, MOTR L
• Makayla Kamm, LCSW
• Russell Albert Klobas, LIC. AC.
• Patricia Lacey, LCSW
• Barda L. Leavitt, PH.D.
• Roxanne Leet, LCSW
• Kelly Lemelin, DC

• Optometrist in Hallowell, ME
• Providers in Hallowell, ME by specialty
• Optometrist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.