Individual provider Active NPI

Marc Eliot Sorsky, OD

  • Optometrist
  • Sanger, CA
National Provider Identifier
1124172168
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11217T Issued in CA
Practice address
1329 8TH St
Suite 2
Sanger, CA 93657-3171
Phone
(559) 875-5524
Fax
(559) 875-9377
NPI assigned
Jan 23, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 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 11217T CA Primary

Addresses

Primary practice location

1329 8TH St
Suite 2
Sanger, CA 93657-3171

Mailing address

1329 8TH St
Suite 2
Sanger, CA 93657-3171
Phone (559) 875-5524

Other identifiers 1

IdentifierTypeStateIssuer
SD0112170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000469 CA Practitioner - Optometry 1557463593 Practice locations: Sanger, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1329 8TH St
Suite 2
Sanger, CA 93657-3101
Phone (559) 875-5524

1329 8TH St
Suite 2
Sanger, CA 93657-3171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11217TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donald T Negri OD Inc Optometrist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1124172168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 8TH ST",
            "address_2": "SUITE 2",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936573171",
            "telephone_number": "559-875-5524",
            "fax_number": "559-875-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 8TH ST",
            "address_2": "SUITE 2",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936573171",
            "telephone_number": "559-875-5524",
            "fax_number": "559-875-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORSKY",
        "first_name": "MARC",
        "middle_name": "ELIOT",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11217T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0112170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

Verify at the official NPI Registry.