NPIMap

Organization Active NPI

Lawrence Michael Cusma, OD

  • Optometrist
  • Scotia, NY
National Provider Identifier
1396162202
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003340-1 Issued in NY
Legal business name
LAWRENCE MICHAEL CUSMA, OD
Practice address
9 Gleason Rd
Scotia, NY 12302-5307
Phone
(518) 399-6368
Fax
(518) 399-6372
NPI assigned
Mar 28, 2014
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Dr. Lawrence Michael Cusma, O.D.NPI 1033189626
Title
Owner/Optometrist
Phone
(518) 399-6368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV003340-1 NY Primary

Addresses

Primary practice location

9 Gleason Rd
Scotia, NY 12302-5307

Mailing address

9 Gleason Rd
Scotia, NY 12302-5307
Phone (518) 399-6368

Other identifiers 2

IdentifierTypeStateIssuer
10000423OtherNYCAPITAL DISTRICT PHYSICIANS HEALTH PLAN
59127OtherNYMVP HEALTH PLAN

National Provider Directory

National Provider Directory

Locations

9 Gleason Rd
Scotia, NY 12302
Phone (518) 384-0562

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1396162202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GLEASON RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123025307",
            "telephone_number": "518-399-6368",
            "fax_number": "518-399-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 GLEASON RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123025307",
            "telephone_number": "518-399-6368",
            "fax_number": "518-399-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE MICHAEL CUSMA, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "CUSMA",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "518-399-6368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003340-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL DISTRICT PHYSICIANS HEALTH PLAN",
            "identifier": "10000423",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "59127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.