Active NPI
Todd Michael Dalessandro, O.D.
- Optometrist
- Painesville, OH
National Provider Identifier
1841490406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5710
- Practice address
- 77 Normandy Dr
Painesville, OH 44077-1615 - Phone
- (440) 352-0616
- Fax
- (440) 352-0618
- NPI assigned
- Jul 23, 2007
- 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 | 5710 | OH | Primary |
Addresses
Primary practice location
77 Normandy Dr
Painesville, OH 44077-1615
Mailing address
1460 Tod Ave NW
Warren, OH 44485-2407
Phone (330) 392-0311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2903184 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5710 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1841490406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 TOD AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444852407",
"telephone_number": "330-392-0311",
"fax_number": "330-392-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 NORMANDY DR",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440771615",
"telephone_number": "440-352-0616",
"fax_number": "440-352-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALESSANDRO",
"first_name": "TODD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2903184",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.