Individual provider Active NPI

Christina A Isaman, O.D

  • Optometrist
  • Kent, OH
National Provider Identifier
1396978060
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.5940T2855 Issued in OH
Practice address
3975 Cascades Blvd
Suite 18
Kent, OH 44240-8053
Phone
(330) 552-5000
Fax
(330) 552-5001
NPI assigned
Aug 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 OPT.5940T2855 OH Primary

Addresses

Primary practice location

3975 Cascades Blvd
Suite 18
Kent, OH 44240-8053

Mailing address

3975 Cascades Blvd Ste 18
Kent, OH 44240-8053
Phone (330) 552-5000

Other names 1

  • Christina A Gant Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100819000960 OH Practitioner - Optometry 3375677784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

1981 E Maple St
North Canton, OH 44720-3333
Phone (330) 966-8201

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.5940T2855OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Organizations & group practices 2

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": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396978060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3975 CASCADES BLVD STE 18",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442408053",
            "telephone_number": "330-552-5000",
            "fax_number": "330-552-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 CASCADES BLVD",
            "address_2": "SUITE 18",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442408053",
            "telephone_number": "330-552-5000",
            "fax_number": "330-552-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAMAN",
        "first_name": "CHRISTINA",
        "middle_name": "A",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.5940T2855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "GANT",
            "middle_name": "A",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.