Jeffrey C Territo, OD
Individual provider Active NPI Optometrist · Everett, PA
NPI 1366422594 · NPPES record last updated Sep 2, 2014
Key facts
- NPI
- 1366422594
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000603 (PA)
- Practice address
- 111 Fairview St
Everett, PA 15537-6337 - Phone
- (814) 623-2020
- Fax
- (814) 623-7816
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brande Saad Group-Bedford
Practice addresses (Care Compare)
111 Fairview St
Everett, PA 15537-6337
Phone (814) 623-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111101000612 | PA | Practitioner - Optometry | 9931101680 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brande Saad Group-Bedford | Optometrist | Current |
Accepting new patients |
Locations
127 S Juliana St
Ste 4
Bedford, PA 15522
Phone (814) 623-2020
111 Fairview St
Everett, PA 15537
Phone (814) 623-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000603 | PA | Yes |
Addresses
Primary practice location
111 Fairview St
Everett, PA 15537-6337
Mailing address
111 Fairview St
Everett, PA 15537-6337
Phone (814) 623-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011774900006 | Medicaid | PA |
Other providers in Everett, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.