Active NPI
Vito Mark Giuseffi, O. D.
- Optometrist
- Arlington Heights, IL
National Provider Identifier
1780641282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 18 S Evergreen Ave
Arlington Heights, IL 60005-1428 - Phone
- (847) 253-8500
- Fax
- (847) 253-8538
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
18 S Evergreen Ave
Arlington Heights, IL 60005-1428
Mailing address
498 Capital LN
Gurnee, IL 60031-4495
Phone (847) 223-9181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4923647 | Other | IL | BCBS |
| 0040030638 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1327 E Thomas St
Suite a
Arlington Heights, IL 60004-4310
Phone (847) 253-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.007661 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Palermo and Associates, LTD | Optometrist | Current | Accepting new patients |
| United Eye Care Providers, LLC | Optometrist | Past | Accepting new patients |
Locations
1327 E Thomas St
Ste A
Arlington Heights, IL 60004
Phone (847) 253-8500
18 S Evergreen Ave
Arlington Hts, IL 60005
Phone (847) 253-8500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Arlington Heights, IL
- NPI 1942327218
-
- Optometrist
- Lemont, IL
- NPI 1013070093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1780641282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "498 CAPITAL LN",
"city": "GURNEE",
"state": "IL",
"postal_code": "600314495",
"telephone_number": "847-223-9181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 S EVERGREEN AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600051428",
"telephone_number": "847-253-8500",
"fax_number": "847-253-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIUSEFFI",
"first_name": "VITO",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4923647",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0040030638",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.