Organization Active NPI

Vitelli Eye Care, LLC

Doing business as Snyder and Vitelli Eye Care

  • Optometrist
  • Hyannis, MA
National Provider Identifier
1184162604
Registry record updated Feb 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4824 Issued in MA
Legal business name
VITELLI EYE CARE, LLC
Doing business as
Snyder and Vitelli Eye Care
Practice address
65 Sea Street Ext
Hyannis, MA 02601-5109
Phone
(412) 414-6791
NPI assigned
Feb 3, 2017
Last updated
Feb 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2017

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

Authorized official

Name
Dr. Theodore M. Vitelli, O.D.NPI 1700835030
Title
Manager
Phone
(412) 414-6791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4824 MA Primary

Addresses

Primary practice location

65 Sea Street Ext
Hyannis, MA 02601-5109

Mailing address

65 Sea Street Ext
Hyannis, MA 02601-5109
Phone (412) 414-6791

Other names 1

  • Snyder and Vitelli Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170324000249 MA Part B Supplier - Clinic/Group Practice 9739464223 Receives reassigned benefits from 1 practitioner
Practice locations: Hyannis, MA

National Provider Directory

National Provider Directory

Locations

65 Sea Street Ext
Hyannis, MA 02601
Phone (508) 775-0881

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1184162604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SEA STREET EXT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015109",
            "telephone_number": "412-414-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SEA STREET EXT",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015109",
            "telephone_number": "412-414-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITELLI EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "VITELLI",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "412-414-6791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snyder and Vitelli Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.