Individual provider Active NPI

Michael Joseph Skuza, O.D.

  • Optometrist
  • Independence, OH
National Provider Identifier
1407088321
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5896 Issued in OH
Practice address
7111 Brecksville Rd
Independence, OH 44131-5345
Phone
(216) 524-4525
Fax
(216) 524-7211
NPI assigned
Aug 11, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5896 OH Primary

Addresses

Primary practice location

7111 Brecksville Rd
Independence, OH 44131-5345

Mailing address

7111 Brecksville Rd
Independence, OH 44131-5345
Phone (216) 524-4525

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
I20130904000935 OH Practitioner - Optometry 6103069513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Medical IncGroup PAC ID 5890765481, 80 clinicians

Practice addresses (Care Compare)

1150 W Market St
Akron, OH 44313-7129
Phone (330) 867-2150

3255 Levis Commons Blvd
Perrysburg, OH 43551-7145
Phone 24852819814031

540 Great Oaks TRL
Wadsworth, OH 44281-8799
Phone (330) 336-1141

Merit-based Incentive Payment System (MIPS)

Final score
93.57 of 100Reported as group
Quality
58.53
Promoting interoperability
100
Improvement activities
40
Cost
86.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Medical Inc Optometrist Current Accepting new patients
Mobile Medical, Inc. CurrentSince May 21, 2014 Accepting new patients
Mobile Medical, Inc. CurrentSince May 21, 2014 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

740 Commerce Dr
Ste A
Perrysburg, OH 43551
Phone 24852821166

Interoperability endpoints

  • Direct secure messaging: michael.skuza.p19@direct.360care.nextgenshare.com

Organizations & group practices 4

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1407088321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 BRECKSVILLE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315345",
            "telephone_number": "216-524-4525",
            "fax_number": "216-524-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 BRECKSVILLE RD",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315345",
            "telephone_number": "216-524-4525",
            "fax_number": "216-524-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUZA",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.