Geraldj.D'Agostino

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

GERALDJ.D'AGOSTINO

Practice address

5404 Northfield Rd
Maple Heights, OH 44137-3113

Phone

(216) 587-6620

Fax

(216) 587-6623

NPI assigned

Jun 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gerald J D'Agostino, ODNPI 1952314585

Title

Owner

Phone

(216) 587-6620

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald Joseph Dagostino, OD

  • Optometrist
  • Maple HTS, OH
  • NPI 1952314585
  NPD (past) Authorized official

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1730316340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MALLARD CREEK RUN",
            "city": "LAGRANGE",
            "state": "OH",
            "postal_code": "440509802",
            "telephone_number": "440-458-6272",
            "fax_number": "440-458-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 NORTHFIELD RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441373113",
            "telephone_number": "216-587-6620",
            "fax_number": "216-587-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALDJ.D'AGOSTINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-587-6620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Functional Accessible Living, LLC
• Functional Living Community Supports
• Aurelia Carmen Gamble, RPH
• Dawn Garner
• Marsha Garrison
• Frank James Gerboc X
• Sarrah Ann Gessler, PHARMD
• Candaice Dorthea Gibbs
• Pauline L. Gibson
• Yolanda Gill

• Optometrist in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.