Individual provider Active NPI

Marino C Saveri III, O.D.

  • Optometrist
  • Brodheadsville, PA
National Provider Identifier
1376799379
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002083 Issued in PA
Practice address
1636 Route 209
106-107
Brodheadsville, PA 18322-7799
Phone
(570) 992-3933
Fax
(570) 402-2922
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002083 PA Primary

Addresses

Primary practice location

1636 Route 209
106-107
Brodheadsville, PA 18322-7799

Mailing address

1636 Route 209
106-107
Brodheadsville, PA 18322-7799
Phone (570) 992-3933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090203000532 PA Practitioner - Optometry 7315001518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 Kevin LN
Suite 105
Brodheadsville, PA 18322-7044
Phone (570) 534-7318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Saveri Family Eyecare, Inc Optometrist CurrentSince Apr 15, 2013 Accepting new patients
Visionworks, Inc CurrentSince Mar 31, 2025 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Mar 31, 2025 Accepting new patients
Advanced Eyecare Specialists LLC Optometrist PastSince Aug 31, 2020 Accepting new patients

Locations

1636 Route 209
#106107
Brodheadsville, PA 18322
Phone (570) 992-3933

208 Kevin Ln
Ste 105
Brodheadsville, PA 18322
Phone (570) 216-3180

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Organizations & group practices 4

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1376799379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 ROUTE 209",
            "address_2": "106-107",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227799",
            "telephone_number": "570-992-3933",
            "fax_number": "570-402-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 ROUTE 209",
            "address_2": "106-107",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227799",
            "telephone_number": "570-992-3933",
            "fax_number": "570-402-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVERI",
        "first_name": "MARINO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodheadsville, PA

Sources for this page

Verify at the official NPI Registry.