Holly Salloga, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE008544T Issued in PA

Practice address

494 Conchester Hwy
Aston, PA 19014-3129

Phone

(610) 859-8030

Fax

(610) 859-8030

NPI assigned

Feb 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Garnet Valley Eye Care PC

  • Primary Care Clinic/Center
  • Aston, PA
  • NPI 1548658180
  Medicare reassignment Authorized official
• Eyes-R-US, Inc

  • Customized Equipment (DME)
  • Aston, PA
  • NPI 1851554273
  NPD (past)
• Simon Eye Associates PA

  • Optometrist
  • Wilmington, DE
  • NPI 1205871506
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1447225024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 CONCHESTER HWY",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190143129",
            "telephone_number": "610-859-8030",
            "fax_number": "610-859-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 CONCHESTER HWY",
            "city": "ASTON",
            "state": "PA",
            "postal_code": "190143129",
            "telephone_number": "610-859-8030",
            "fax_number": "610-859-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLOGA",
        "first_name": "HOLLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "130001277",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE008544T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000038423",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED INS CO",
            "identifier": "DE1277",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MID ATLANTIC CHRISTIANA",
            "identifier": "20389",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riddle Endocrinology & Metabolism Associates, PC
• Nancy J Rist, MD
• Rite Aid of Pennsylvania LLC (Rite Aid Pharmacy 01274)
• Shannon M Rogowski, RN
• Timothy Rossner, PT, DPT
• Almudena Santos
• Sarno Nutrition Consulting LLC
• Marilyn Irene Sarno, MA RD LDN CDE
• Brett Jeffrey Schiller, DPT
• Cheryl Scopinich, LCSW

• Optometrist in Aston, PA
• Providers in Aston, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.