Active NPI
Medio Anthony Caucci Jr.
- Optician
- Medina, OH
National Provider Identifier
1366140774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP.007364-SC
- Practice address
- 4141 Pearl Rd
Medina, OH 44256-7649 - Phone
- (330) 723-0234
- NPI assigned
- Feb 16, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | OP.007364-SC | OH | Primary |
Addresses
Primary practice location
4141 Pearl Rd
Medina, OH 44256-7649
Mailing address
9862 Fremont Dr
Columbia Station, OH 44028-9609
Phone (440) 864-5724
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP.007364-SC | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1366140774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9862 FREMONT DR",
"city": "COLUMBIA STATION",
"state": "OH",
"postal_code": "440289609",
"telephone_number": "440-864-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4141 PEARL RD",
"city": "MEDINA",
"state": "OH",
"postal_code": "442567649",
"telephone_number": "330-723-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAUCCI",
"first_name": "MEDIO",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-16",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "OP.007364-SC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.