Individual provider Active NPI

David A Giusti, OD

  • Optometrist
  • Valley Cottage, NY
National Provider Identifier
1376173757
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009086 Issued in NY
Practice address
612 Corporate Way Ste 3
Valley Cottage, NY 10989-2027
Phone
(845) 268-0045
NPI assigned
Jan 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009086 NY Primary

Addresses

Primary practice location

612 Corporate Way Ste 3
Valley Cottage, NY 10989-2027

Mailing address

77 S Franklin St Unit 229
Nyack, NY 10960-3785
Phone (718) 844-7027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20200313000064 NY Practitioner - Optometry 7911335583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Rockland Family Eye Clinic LLCGroup PAC ID 5294104147, 2 clinicians

Practice addresses (Care Compare)

612 Corporate Way
Suite 3
Valley Cottage, NY 10989-2027
Phone (845) 268-0045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David a Giusti OD LLC Optometrist CurrentSince Aug 4, 2021 Accepting new patients
Dr. Marilyn Mann and Dr. Margaret Siegrist PTRS Optometrist CurrentSince Oct 1, 2023 Accepting new patients
Rockland Family Eye Clinic LLC Optometrist CurrentSince Nov 18, 2022 Accepting new patients
Family Optical Shoppe Corp PastSince Feb 2, 2020 Accepting new patients

Locations

612 Corporate Way
Ste 3
Vly Cottage, NY 10989
Phone (845) 268-0045

4120 Palisades Center Dr
West Nyack, NY 10994
Phone (718) 844-7027

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1376173757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S FRANKLIN ST UNIT 229",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603785",
            "telephone_number": "718-844-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 CORPORATE WAY STE 3",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892027",
            "telephone_number": "845-268-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUSTI",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-24",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Cottage, NY

Sources for this page

Verify at the official NPI Registry.