Individual provider Active NPI

Scott M Hussing, O.D.

  • Optometrist
  • Cuyahoga Falls, OH
National Provider Identifier
1437234432
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4111 Issued in OH
Practice address
646 Portage TRL
Cuyahoga Falls, OH 44221-3034
Phone
(330) 929-9941
Fax
(330) 929-3926
NPI assigned
Oct 26, 2006
Last updated
Jan 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4111 OH Primary

Addresses

Primary practice location

646 Portage TRL
Cuyahoga Falls, OH 44221-3034

Mailing address

646 Portage TRL
Cuyahoga Falls, OH 44221-3034
Phone (330) 929-9941

Other identifiers 1

IdentifierTypeStateIssuer
0361504MedicaidOH

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
I20121204000303 OH Practitioner - Optometry 3274647748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glanville and Hussing OD IncGroup PAC ID 0749214138, 2 clinicians

Practice addresses (Care Compare)

646 Portage TRL
Cuyahoga Falls, OH 44221-3000
Phone (330) 929-9941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Glanville & Hussing, O.D., Inc Optometrist CurrentSince Sep 13, 2012 Accepting new patients

Locations

646 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 928-3420

307 W Main St
Kent, OH 44240
Phone (330) 673-7538

307 W Main St
Ste A
Kent, OH 44240
Phone (330) 673-7538

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1437234432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213034",
            "telephone_number": "330-929-9941",
            "fax_number": "330-929-3926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213034",
            "telephone_number": "330-929-9941",
            "fax_number": "330-929-3926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSING",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0361504",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.