Individual provider Active NPI

Vito Mark Giuseffi, O. D.

  • Optometrist
  • Arlington Heights, IL
National Provider Identifier
1780641282
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4923647OtherILBCBS
0040030638OtherILBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100818000016 IL Practitioner - Optometry 7618001264 Reassigns benefits to 1 organization

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
Dr. Palermo and Associates, LTDGroup PAC ID 8628163300, 5 clinicians

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

LicenseStateTypeSpecialty
046.007661ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Palermo and Associates, LTD Optometrist CurrentSince Jan 1, 2000 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.

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

Verify at the official NPI Registry.