Gregory S Sasarak, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5592 Issued in OH

Practice address

280 S Logan St
Elyria, OH 44035-6224

Phone

(440) 365-9311

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gregory Sasarak Inc

  • Clinic/Center
  • Elyria, OH
  • NPI 1710239991
  Medicare reassignment Authorized official
• Lang Optical Inc.

  • Eyewear Supplier
  • Elyria, OH
  • NPI 1144394248
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457429508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 S LOGAN ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356224",
            "telephone_number": "440-365-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S LOGAN ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356224",
            "telephone_number": "440-365-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASARAK",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2642840",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sana Abumeri M D Inc
• Sanjay Palekar MD Inc
• Diana Susan Santantonio, ED.S.
• Lisette Santiago
• Saravanan LLC
• Rylie Satterfield
• Erika Saum
• Courtney Nicole Saunders
• Abraham Sayon, MD
• Kayla Scamaldo

• Optometrist in Elyria, OH
• Providers in Elyria, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.