Organization Active NPI

The Brande Saad Group

  • Optometrist
  • State College, PA
National Provider Identifier
1447298062
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THE BRANDE SAAD GROUP
Practice address
421 E Calder Way
State College, PA 16801-5663
Phone
(814) 234-6060
Fax
(814) 234-0797
NPI assigned
Jun 4, 2006
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Dr. Donald Jay Cervino, OD
Title
Optometric Doctor
Phone
(814) 234-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Optometric Assistant Technician 156FX1201X

Addresses

Primary practice location

421 E Calder Way
State College, PA 16801-5663

Mailing address

421 E Calder Way
State College, PA 16801-5663
Phone (814) 234-6060

Other identifiers 1

IdentifierTypeStateIssuer
0072092970002MedicaidPA

National Provider Directory

National Provider Directory

Locations

421 E Calder Way
State College, PA 16801
Phone (814) 234-6060

611 University Dr
Ste 111
State College, PA 16801
Phone (814) 234-6060

Practitioners & affiliated clinicians

Practitioners 2

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": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1447298062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E CALDER WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015663",
            "telephone_number": "814-234-6060",
            "fax_number": "814-234-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E CALDER WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168015663",
            "telephone_number": "814-234-6060",
            "fax_number": "814-234-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BRANDE SAAD GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "CERVINO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OPTOMETRIC DOCTOR",
        "authorized_official_telephone_number": "814-234-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1201X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optometric Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0072092970002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.