Mitchell Scot Pulleo

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG004138 Issued in PA

Practice address

212 State Ave
Beaver, PA 15009-1728

Phone

(724) 774-7559

NPI assigned

Mar 12, 2024

Last updated

May 9, 2024By 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

Enrolled in PA

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

Ohio State University - College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guzzetti Optometric Services PCGroup PAC ID 5193822591, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Guzzetti Optometric Services, P.C.

  • Corneal and Contact Management Optometrist
  • Beaver, PA
  • NPI 1427176171
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1609634807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 STATE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 STATE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091728",
            "telephone_number": "724-774-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEO",
        "first_name": "MITCHELL",
        "middle_name": "SCOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Elizabeth Rose Pokita, PAS
• Pottenger Family Chiropractic, LLC
• Jason Prem
• Jack Michael Preston, M.D.
• Thomas J Preston, CSW
• Michael Punk, CRNA
• Paul A Pupi, M.D.
• Xingyi Que, M.D.
• Olivia Dawn Rabak, RDN, LDN
• David Mark Rafalko, M.D.

• Optometrist in Beaver, PA
• Providers in Beaver, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.