Individual provider Active NPI

Anthony Michael Gioscia, O.D.

  • Optometrist
  • Manchester, CT
National Provider Identifier
1962657288
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002418 Issued in CT
Practice address
344V Buckland Hills Dr
Manchester, CT 06042
Phone
(860) 648-1345
NPI assigned
Dec 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002418 CT Primary

Addresses

Primary practice location

344V Buckland Hills Dr
Manchester, CT 06042

Mailing address

344V Buckland Hills Dr
Jcpenny Optical
Manchester, CT 06042
Phone (860) 648-1345

Other identifiers 2

IdentifierTypeStateIssuer
004202602MedicaidCT
17448OtherCTAVESIS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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

Enrollment IDStateProvider typePAC IDDetails
I20090209000058 CT Practitioner - Optometry 7416017157 Reassigns benefits to 1 organization
I20121101000224 MA Practitioner - Optometry 7416017157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1708 Stafford Rd
Storrs Mansfield, CT 06268-1110
Phone (860) 429-6111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002418CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Anthony Gioscia Optometrist LLC Optometrist CurrentSince Dec 22, 2008 Accepting new patients
Optical Expressins Inc. Past Accepting new patients

Locations

344 Buckland Hills Dr
#V
Manchester, CT 06042
Phone (860) 648-1345

1708 Stafford Rd
Storrs Mansfield, CT 06268
Phone (860) 429-6111

591 Middle Tpke
Storrs Mansfield, CT 06268
Phone (860) 429-6111

1514 Allen St
Springfield, MA 01118
Phone (413) 783-8800

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1962657288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344V BUCKLAND HILLS DR",
            "address_2": "JCPENNY OPTICAL",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06042",
            "telephone_number": "860-648-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344V BUCKLAND HILLS DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06042",
            "telephone_number": "860-648-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOSCIA",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004202602",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "17448",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.