Individual provider Active NPI

Samuel James Menei, O.D.

  • Optometrist
  • Middletown, DE
National Provider Identifier
1134578461
Registry record updated Feb 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001393 Issued in DE
Practice address
223 E Main St
Middletown, DE 19709-1449
Phone
(302) 376-4190
Fax
(302) 376-5644
NPI assigned
Jun 7, 2016
Last updated
Feb 27, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003188 PA
Optometrist 152W00000X 27OA00667000 NJ
Optometrist 152W00000X I3-0001393 DE Primary

Addresses

Primary practice location

223 E Main St
Middletown, DE 19709-1449

Mailing address

128 W Flagstone Dr
Newark, DE 19702-3647
Phone (302) 312-9725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20170330001882 DE Practitioner - Optometry 8123303393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

223 E Main St
Middletown, DE 19709-1449
Phone (302) 376-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00667000NJMDOptometrist
OEG003188PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Delaware PA Optometrist Current Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Jun 19, 2017 Accepting new patients
In Vision Eye Care, Inc. Optometrist CurrentSince Feb 28, 2017 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist CurrentSince Jun 19, 2017 Accepting new patients
Myeyedr Optometry of Delaware PA Optometrist Past Accepting new patients

Locations

1237 Quintilio Dr
Bear, DE 19701
Phone (302) 678-1700

885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861

223 E Main St
Middletown, DE 19709
Phone (302) 376-1900

201 Stadium St
Smyrna, DE 19977
Phone (302) 653-3400

2205 Concord Pike
Wilmington, DE 19803
Phone (302) 655-1952

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1134578461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W FLAGSTONE DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023647",
            "telephone_number": "302-312-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091449",
            "telephone_number": "302-376-4190",
            "fax_number": "302-376-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEI",
        "first_name": "SAMUEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003188",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00667000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

Verify at the official NPI Registry.