Dr Gerald Joseph Dagostino, OD is a
Optometrist based in Maple Hts, Ohio. Dr Gerald Joseph Dagostino is licensed to practice in Ohio (license number 3716T397) and his current practice location is
5404 Northfield Road, Maple Hts, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 587-6620.
NPI number for Dr Gerald Joseph Dagostino is 1952314585 and his current mailing address is 5404 Northfield Road, Maple Hts, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952314585.
Healthcare Provider's Profile
| Full Name | Dr Gerald Joseph Dagostino |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 5404 Northfield Road, Maple Hts, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1952314585
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 07/12/2013
Medical Identifiers
Medical identifiers for Dr Gerald Joseph Dagostino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952314585 | NPI | - | NPPES |
| 341617718026 | Other | OH | CARE SOURCE |
| 0632613 | Medicaid | OH | |
| 5369140001 | Other | | DME |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 3716T397 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gerald Joseph Dagostino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gerald Joseph Dagostino, OD
5404 Northfield Road,
Maple Hts, OH 44137
Ph: (216) 587-6620 | Dr Gerald Joseph Dagostino, OD
5404 Northfield Road,
Maple Hts, OH 44137
Ph: (216) 587-6620 |
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