Healthcare Provider Details

I. General information

NPI: 1720910227
Provider Name (Legal Business Name): MADISON AMY GIANVITO OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 W BOWERY ST STE 4500
AKRON OH
44308-1070
US

IV. Provider business mailing address

3320 MAYER DR
MURRYSVILLE PA
15668-1618
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-5290
  • Fax:
Mailing address:
  • Phone: 412-925-7677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT.007480
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: