Organization Active NPI

Santasania Eyecare

  • Optometrist
  • Pocono Summit, PA
National Provider Identifier
1386728525
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000257 Issued in PA
Legal business name
SANTASANIA EYECARE
Practice address
HC 89
Pocono Summit, PA 18346-9801
Phone
(570) 839-5746
Fax
(579) 839-5748
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Joseph Santasania, O.D.NPI 1053350546
Title
Owner
Phone
(570) 839-5746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000257 PA Primary

Addresses

Primary practice location

HC 89
Pocono Summit, PA 18346-9801

Mailing address

HC 89
Route 940, P.O. Box 127
Pocono Summit, PA 18346-0127
Phone (570) 839-5746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120130000665 PA Part B Supplier - Clinic/Group Practice 7214194596 Receives reassigned benefits from 1 practitioner
Practice locations: Blakeslee, PA

National Provider Directory

National Provider Directory

Locations

395 Route 940
Ste 103
Blakeslee, PA 18610
Phone (570) 839-5746

2591 Route 940
Pocono Summit, PA 18346
Phone (570) 839-5746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386728525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 89",
            "address_2": "ROUTE 940, P.O. BOX 127",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183460127",
            "telephone_number": "570-839-5746",
            "fax_number": "579-839-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 89",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183469801",
            "telephone_number": "570-839-5746",
            "fax_number": "579-839-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTASANIA EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTASANIA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-839-5746",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocono Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.