Michelle Di Tusa, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

UT005445 Issued in NY

Practice address

4235 Veteran Dr
Geneseo, NY 14454-9442

Phone

(585) 243-3940

NPI assigned

Sep 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

New England College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sightrite Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1336562644
  Medicare reassignment NPD
• Michelle Ditusa OD & George T Cornwell

  dba Michelle DiTusa, OD

  • Optometrist
  • Geneseo, NY
  • NPI 1689360661
  NPD Authorized official
• Daniel Brunenavs

  dba Chadwick Bay Vision Care

  • Eyewear Supplier
  • Dunkirk, NY
  • NPI 1114197738
  NPD (past)
• Daniel Brunenavs OD PLLC

  dba Chadwick Bay Vision Care

  • Optometrist
  • Dunkirk, NY
  • NPI 1689919433
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1497857783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 DUNDAS DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146251370",
            "telephone_number": "585-880-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 VETERAN DR",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144549442",
            "telephone_number": "585-243-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI TUSA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "UT005445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1550421",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter H. Cormack, PH.D.
• Peter Michael D'Amigo, RPH
• Heather A Dailor, NP
• Taylor Damato, NP
• Katie Dempsey, FNP-BC
• Ella Doan
• Michael J Dolan, O.D.
• Carey Bernini Dowling, PH.D.
• Carrie Dylag
• Jenna Leigh Eisen, PHD

• Optometrist in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.

Verify at the official NPI Registry.