Organization Active NPI

Sid Savitt, Inc.

  • Optometrist
  • Wickliffe, OH
National Provider Identifier
1205999778
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3267 Issued in OH
Legal business name
SID SAVITT, INC.
Practice address
29610 Euclid Ave
Wickliffe, OH 44092-1829
Phone
(440) 943-1993
Fax
(440) 943-9595
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Sid E. Savitt, O.D.NPI 1023028263
Title
Owner
Phone
(440) 943-1993

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 3267 OH Primary
Eyewear Supplier 332H00000X 3267 OH

Addresses

Primary practice location

29610 Euclid Ave
Wickliffe, OH 44092-1829

Mailing address

29610 Euclid Ave
Wickliffe, OH 44092-1829
Phone (440) 943-1993

Other identifiers 2

IdentifierTypeStateIssuer
0386854MedicaidOH
000001051618OtherOHANTHEM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170117001010 OH Part B Supplier - Clinic/Group Practice 9436431087 Receives reassigned benefits from 3 practitioners
Practice locations: Wickliffe, OH

National Provider Directory

National Provider Directory

Locations

29610 Euclid Ave
Wickliffe, OH 44092
Phone (440) 943-1993

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1205999778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29610 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921829",
            "telephone_number": "440-943-1993",
            "fax_number": "440-943-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29610 EUCLID AVE",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440921829",
            "telephone_number": "440-943-1993",
            "fax_number": "440-943-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SID SAVITT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "SAVITT",
        "authorized_official_first_name": "SID",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-943-1993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3267",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OH",
            "license": "3267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0386854",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001051618",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickliffe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.