Individual provider Active NPI

Pamela A Saus, O.D.

  • Optometrist
  • Green Brook, NJ
National Provider Identifier
1366484081
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00574600 Issued in NJ
Practice address
255 US Highway 22
Green Brook, NJ 08812-1807
Phone
(732) 752-6222
Fax
(732) 752-2030
NPI assigned
Jun 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00574600 NJ Primary

Addresses

Primary practice location

255 US Highway 22
Green Brook, NJ 08812-1807

Mailing address

170 Route 31
Flemington, NJ 08822-5756
Phone (908) 782-2224

Other names 1

  • Dr. Pamela A Vitale Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070705000160 NJ Practitioner - Optometry 6305944000 Practice locations: Flemington, NJ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 State Route 31
Suite 4
Flemington, NJ 08822-5756
Phone (908) 782-2224

170 State Rte
Suite 31
Flemington, NJ 08822-5756

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00574600NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela Saus OD Optometrist PastSince Jul 16, 2010 Accepting new patients
Promenade Eye Care, P.a. Optometrist PastSince Dec 15, 2008 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1366484081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 ROUTE 31",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088225756",
            "telephone_number": "908-782-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 US HIGHWAY 22",
            "city": "GREEN BROOK",
            "state": "NJ",
            "postal_code": "088121807",
            "telephone_number": "732-752-6222",
            "fax_number": "732-752-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUS",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00574600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "VITALE",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Brook, NJ

Sources for this page

Verify at the official NPI Registry.