Austin L Saneholtz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5820 T2734 Issued in OH

Practice address

1021 Sandusky St Ste E
Perrysburg, OH 43551-3201

Phone

(419) 874-3661

Fax

(419) 872-5195

NPI assigned

Sep 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crystal Clear Vision, LLCGroup PAC ID 1052538378, 2 clinicians

Tri-State Vision Center, Inc.Group PAC ID 3476594318, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.36 of 100Reported as group

Quality

84.73

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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

• Crystal Clear Vision, LLC

  • Optometrist
  • Perrysburg, OH
  • NPI 1629484670
  Medicare reassignment Care Compare group NPD Authorized official
• Tri-State Vision Center, Inc.

  • Optometrist
  • Montpelier, OH
  • NPI 1568573350
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1275781841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W SOUTH BOUNDARY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511754",
            "telephone_number": "419-874-3661",
            "fax_number": "419-872-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST STE E",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513201",
            "telephone_number": "419-874-3661",
            "fax_number": "419-872-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANEHOLTZ",
        "first_name": "AUSTIN",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4380",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5820 T2734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3126254",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Lynn Sachs, MD
• Daniel Saffo
• Erica Sage
• Lena Marie Salpietro
• Amy Sands
• Elise Marie Sanford
• Daniel Sanger, AT, ATC
• Renee Santus
• Jamie Saporita, PA-C
• Sharmishtha Sasmal

• Optometrist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.