Individual provider Active NPI

Brandy Cestoni, O.D.

  • Optometrist
  • Circleville, OH
National Provider Identifier
1487035820
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6360 Issued in OH
Practice address
401 N Court St
Circleville, OH 43113-3202
Phone
(740) 474-6039
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6360 OH Primary

Addresses

Primary practice location

401 N Court St
Circleville, OH 43113-3202

Mailing address

401 N Court St
Circleville, OH 43113-3202
Phone (740) 474-6039

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
I20150701002561 OH Practitioner - Optometry 4789996869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Family Eye Care LLCGroup PAC ID 7416210356, 2 clinicians

Practice addresses (Care Compare)

1010 N 21St St
Newark, OH 43055-2984
Phone (740) 366-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1487035820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431133202",
            "telephone_number": "740-474-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N COURT ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431133202",
            "telephone_number": "740-474-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESTONI",
        "first_name": "BRANDY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.