H Robert Gaetano, O.D., Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

H ROBERT GAETANO, O.D., INC

Practice address

3155 Canfield Rd
Youngstown, OH 44511-2880

Phone

(330) 792-4923

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Henry Robert Gaetano, OD

Title

Owner

Phone

(330) 792-4923

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• VISION CARE ASSOCIATES Doing business as

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1467417618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112880",
            "telephone_number": "330-792-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 CANFIELD RD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112880",
            "telephone_number": "330-792-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H ROBERT GAETANO, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "GAETANO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-792-4923",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0138309",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VISION CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.