Individual provider Active NPI

Richard Peter Pascucci, OD

  • Optometrist
  • Utica, NY
National Provider Identifier
1609835685
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0058511 Issued in NY
Practice address
2318 Genesee St
Utica, NY 13502-5810
Phone
(315) 732-7121
NPI assigned
Mar 20, 2006
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0058511 NY Primary

Addresses

Primary practice location

2318 Genesee St
Utica, NY 13502-5810

Mailing address

2318 Genesee St
Utica, NY 13502-5810
Phone (315) 732-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040504000224 NY Practitioner - Optometry 6002804564 Reassigns benefits to 1 organization
Practice locations: Little Falls, NY; Utica, NY
O20150120001241 NY DME Supplier - Physician - Optometrist 8426372590 Practice locations: Utica, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2318 Genesee St
Utica, NY 13502-5810
Phone (315) 732-7121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0058511NYMDOptometrist
005851NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Association for the Blind, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Poulin Optometric Eyecare , PLLC Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Richard P Pascucci Optometrist CurrentSince Jun 1, 2014 Accepting new patients
Cayuga Medical Associates, PC Past Accepting new patients
Cny Eye Physicians and Surgeons PC Past Accepting new patients
Empire Vision Center Inc Optometrist PastSince Feb 28, 2010 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Thomas P. Webb Past Accepting new patients
Central Association for the Blind and Visually Impaired PastSince Nov 1, 2016 Accepting new patients
Robert J. Arleo, MD,PC PastSince Dec 23, 2005 Accepting new patients

Locations

94 Main St
Camden, NY 13316
Phone (315) 245-2443

2318 Genesee St
Utica, NY 13502
Phone (315) 381-3065

507 Kent St
Utica, NY 13501
Phone (315) 797-2233

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1609835685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025810",
            "telephone_number": "315-732-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025810",
            "telephone_number": "315-732-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUCCI",
        "first_name": "RICHARD",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0058511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.