Craig A Smargiasso, O.D.
Individual provider Active NPI Optometrist · Aurora, OH
NPI 1336378686 · NPPES record last updated Dec 27, 2012
Key facts
- NPI
- 1336378686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5897 (OH)
- Practice address
- 220 S Chillicothe Rd
Aurora, OH 44202-8805 - Phone
- (330) 348-0269
- Fax
- (330) 348-0794
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
220 S Chillicothe Rd
Aurora, OH 44202-8805
Phone (330) 348-0269
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110217000160 | OH | Practitioner - Optometry | 8426239997 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG002253 | PA | MD | Optometrist |
| 5897 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig a. Smargiasso OD LLC | Optometrist | Current |
Accepting new patients |
| Mills Medical Practices, LLC | Past |
Accepting new patients |
Locations
220 S Chillicothe Rd
Aurora, OH 44202
Phone (330) 348-0269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5897 | OH | Yes |
| Optometrist | 152W00000X | OEG002253 | PA |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3007561 | Medicaid | OH |
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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.