Sam J Bono, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT0067801 Issued in NY

Practice address

50 Auert Ave
Empire Vision Centers
Utica, NY 13502-2326

Phone

(315) 724-3000

Fax

(315) 724-6765

NPI assigned

Apr 4, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Hartford Optometry, PLLCGroup PAC ID 7315084282, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• New Hartford Optometry, PLLC

  • Optometrist
  • New Hartford, NY
  • NPI 1336378587
  Medicare reassignment Care Compare group
• Empire Vision Center Inc

  dba Empire Vision Centers

  • Technician/Technologist
  • Utica, NY
  • NPI 1326001736

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1225090491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 ERIE BLVD EAST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13224",
            "telephone_number": "315-445-7465",
            "fax_number": "315-445-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AUERT AVE",
            "address_2": "EMPIRE VISION CENTERS",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135022326",
            "telephone_number": "315-724-3000",
            "fax_number": "315-724-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONO",
        "first_name": "SAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT0067801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pavan Bolla, MD
• Samantha Bond, LMSW
• Karen Bone
• Deborah K Bongiorno, LPN
• Patricia Anne Bonner, LCSW
• Susan Ann Bord, CCC-SLP
• Erica Lynn Borek
• Laura Salzano Borgos, M.D.
• Kathryn Hollie Boss, FNP-C
• Rachel Ann Bossi, PA-C

• Optometrist in Utica, NY
• Providers in Utica, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.