Michael Anthony Cusumano, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2471 Issued in FL

Practice address

178 E Davis Blvd
Tampa, FL 33606-3514

Phone

(813) 300-7839

Fax

(813) 425-9342

NPI assigned

Jan 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Southern College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobile Vision Partners PLLCGroup PAC ID 3173804523, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Mobile Vision Partners, P.L.L.C.

  • Optometrist
  • Clearwater, FL
  • NPI 1750746095
  Medicare reassignment Care Compare group NPD
• Palmtree1, LLC

  • Optometrist
  • Tampa, FL
  • NPI 1528987294
  NPD (past) Authorized official

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487376000000",
    "number": "1285612036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 E DAVIS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063514",
            "telephone_number": "813-300-7839",
            "fax_number": "813-425-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E DAVIS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336063514",
            "telephone_number": "813-300-7839",
            "fax_number": "813-425-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSUMANO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2017-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620343400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leta K Curtiss, RRT/CPFT
• Brenda Curtwright, SLP
• Curve Chiropractic LLC
• Ashley Jennifer Custodio, APRN
• Custom Care Medical Center LLC
• Atira Cutler, B.S
• Jasmine Cutler, PHARMD
• Scott G. Cutler, M.D.
• Norele Jean Cutrera, M.D.
• Joseph Cutrone II, MD

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.