Physician Compare National (NPI:1235135807)

HEALTHCARE PROVIDER: H ROBERT GAETANO O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1235135807
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3476447624
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070905000210
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GAETANO
	Individual professional last name
Provider First Name	H ROBERT
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	OPTOMETRY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	OPTOMETRY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	3155 CANFIELD RD
	Group Practice or individual's line 1 address
City	YOUNGSTOWN
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	445112880
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y