David Pannunzio

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1556S Issued in OH

Practice address

7087 West Blvd Ste 4
Boardman, OH 44512-4335

Phone

(330) 758-0807

Fax

(330) 758-8849

NPI assigned

Oct 15, 2007

Last updated

Oct 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Spec Spot, LLC.

  • Eyewear Supplier
  • Youngstown, OH
  • NPI 1134766835
  NPD (past)
• The Spectacle Spot, Inc

  • Eyewear Supplier
  • Boardman, OH
  • NPI 1366632903
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1578751699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7087 WEST BLVD STE 4",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124335",
            "telephone_number": "330-758-0807",
            "fax_number": "330-758-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7087 WEST BLVD STE 4",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124335",
            "telephone_number": "330-758-0807",
            "fax_number": "330-758-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNUNZIO",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "OH",
            "license": "1556S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Pais, LISW
• Elena Pal-Wal, MD
• Edward L Palestro, DPT
• Ronanda Palmer
• Patricia Palusak
• Vincent Paolone, MD
• Claire Mae Parker
• Troy M Parks
• Michael Donald Paronish, MD
• Devon Parsons, CNP

• Optician in Boardman, OH
• Providers in Boardman, OH by specialty
• Optician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.