Individual provider Active NPI

Sandra K Travaglianti, O.D.

  • Optometrist
  • Twinsburg, OH
National Provider Identifier
1417203944
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6164 Issued in OH
Practice address
8934 Darrow Rd
Space C104
Twinsburg, OH 44087-2129
Phone
(330) 425-9830
NPI assigned
Aug 2, 2012
Last updated
Aug 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6164 OH Primary

Addresses

Primary practice location

8934 Darrow Rd
Space C104
Twinsburg, OH 44087-2129

Mailing address

8200 Joyce Rd
Broadview Heights, OH 44147-1433
Phone (440) 785-7492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130402000523 OH Practitioner - Optometry 4587809173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Ohio Eye Surgeons IncGroup PAC ID 3577537042, 32 clinicians

Practice addresses (Care Compare)

4463 Weymouth Rd
Medina, OH 44256-9249
Phone (330) 678-0201

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
77.53
Promoting interoperability
96
Improvement activities
40
Cost
77.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6164OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Dr Anita M Soto O.D. Inc. Optometrist CurrentSince Dec 16, 2012 Accepting new patients
Northeast Ohio Eye Surgeons, Inc. Optometrist CurrentSince Sep 1, 2021 Accepting new patients

Locations

4099 Embassy Pkwy
Akron, OH 44333
Phone (330) 835-1844

6880 W Snowville Rd
Ste 215
Brecksville, OH 44141
Phone (440) 526-1974

7001 S Edgerton Rd
Ste B
Brecksville, OH 44141
Phone (440) 526-1974

25101 Chagrin Blvd
Cleveland, OH 44122
Phone (216) 359-1734

2013 State Route 59
Kent, OH 44240
Phone (330) 434-1185

4463 Weymouth Rd
Medina, OH 44256
Phone (330) 722-2150

6785 Wallings Rd
North Royalton, OH 44133
Phone (440) 237-9120

4277 Allen Rd
Stow, OH 44224
Phone (330) 928-0201

2660 E Market St
Warren, OH 44483
Phone (330) 393-4000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1417203944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 JOYCE RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441471433",
            "telephone_number": "440-785-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8934 DARROW RD",
            "address_2": "SPACE C104",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872129",
            "telephone_number": "330-425-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVAGLIANTI",
        "first_name": "SANDRA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.