Active NPI
Anthony Michael Prusinski, O.D.
- Optometrist
- Mansfield, OH
National Provider Identifier
1457375511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4978
- Practice address
- 2214 Richland Mall
Mansfield, OH 44906-1249 - Phone
- (419) 529-5770
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4978 | OH | Primary |
Addresses
Primary practice location
2214 Richland Mall
Mansfield, OH 44906-1249
Mailing address
5440 Brook Run Dr
Medina, OH 44256-6442
Phone (330) 725-7618
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2214 Richland Mall
Mansfield, OH 44906-1249
Phone (419) 529-8085
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2718 | WI | MD | Health Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prusinski Eye Care, Inc. | Optometrist | Current | Accepting new patients |
| Dr. Jonathan M. Schonfeld, Inc. | Optometrist | Past | Accepting new patients |
| Luxottica Retail North America Inc | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
2214 Richland Mall
Mansfield, OH 44906
Phone (419) 529-5770
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.
-
- Optometrist
- Mansfield, OH
- NPI 1922123215
-
- Optometrist
- Middleburg Heights, OH
- NPI 1356428874
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
-
- Eyewear Supplier
- Milwaukee, WI
- NPI 1265507313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457375511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5440 BROOK RUN DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442566442",
"telephone_number": "330-725-7618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 RICHLAND MALL",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449061249",
"telephone_number": "419-529-5770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUSINSKI",
"first_name": "ANTHONY",
"middle_name": "MICHAEL",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.