Organization Active NPI

Sanaga Optical & Eye Care

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1407251788
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SANAGA OPTICAL & EYE CARE
Practice address
2483 Frederick Ave
Baltimore, MD 21223-2856
Phone
(410) 233-8222
NPI assigned
Oct 29, 2014
Last updated
Oct 29, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SANAGA OPTICAL & EYE CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Authorized official

Name
Dr. Michel Leno, O.D.NPI 1275745705
Title
Owner
Phone
(410) 233-8222

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2483 Frederick Ave
Baltimore, MD 21223-2856

Mailing address

2483 Frederick Ave
Baltimore, MD 21223-2856
Phone (410) 233-8222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141222000300 MD Part B Supplier - Clinic/Group Practice 7810210994 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Part of
Sanaga Optical Eye Care

Locations

2401 Liberty Heights Ave
#3727
Baltimore, MD 21215
Phone (410) 669-9700

2483 Frederick Ave
Baltimore, MD 21223
Phone (410) 233-8222

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414540800000",
    "number": "1407251788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 FREDERICK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232856",
            "telephone_number": "410-233-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 FREDERICK AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232856",
            "telephone_number": "410-233-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANAGA OPTICAL & EYE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANAGA OPTICAL & EYE CARE",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A",
        "authorized_official_last_name": "LENO",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-233-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.