Joanna Carole Kushon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OET008885 Issued in PA

Practice address

2526 Monroeville Blvd Ste 100
Monroeville, PA 15146-2372

Phone

(412) 823-2569

Fax

(412) 823-2764

NPI assigned

Jul 14, 2006

Last updated

Sep 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA, PA2 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

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.

• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr

  • Optometrist
  • Doylestown, PA
  • NPI 1780150896
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Monroeville, PA
  • NPI 1891328142
  NPD
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • McLean, VA
  • NPI 1447628284
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Monroeville Eye Care Inc

  • Optometrist
  • Monroeville, PA
  • NPI 1932269636
  NPD (past)
• Michael a Angotti

  dba Michael Angotti OD

  • Optometrist
  • Virginia Beach, VA
  • NPI 1801805247
  NPD (past)
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Williamsburg, VA
  • NPI 1922456672
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1730105677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 MONROEVILLE BLVD STE 100",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462372",
            "telephone_number": "412-823-2569",
            "fax_number": "412-823-2764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3590 Holland Rd",
            "address_2": "104",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234524053",
            "country_code": "US",
            "telephone_number": "757-340-9680",
            "fax_number": "757-463-5496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4655 Monticello Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231888221",
            "country_code": "US",
            "telephone_number": "757-259-6823",
            "fax_number": "757-259-6826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUSHON",
        "first_name": "JOANNA",
        "middle_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001249",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OET008885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010129265",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Kubiak, PT, DPT
• Shadene R Kubistek, AU.D.
• Rahul Johar Kumar, M.D.
• Amanda Kunkle
• Laken Joel Kuntz, NP-C
• Haley Kuzmirek
• Josephine Kyazze, CRPN
• Anita Kysor, RN, CMT
• Mara Ariane Kyzer
• Steffanie Labate, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.