NPIMap

Organization Active NPI

Fort Steuben Ophthalmologists, Inc.

  • Ophthalmology Physician
  • Steubenville, OH
National Provider Identifier
1487648739
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FORT STEUBEN OPHTHALMOLOGISTS, INC.
Practice address
2315 Sunset Blvd
Suite B
Steubenville, OH 43952-2496
Phone
(740) 264-7148
Fax
(740) 264-6957
NPI assigned
Sep 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Tony P Sellitti, MDNPI 1366441446
Title
Physician
Phone
(740) 264-7148

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X OH Primary

Addresses

Primary practice location

2315 Sunset Blvd
Suite B
Steubenville, OH 43952-2496

Mailing address

2315 Sunset Blvd
Suite B
Steubenville, OH 43952-2496
Phone (740) 264-7148

Other identifiers 1

IdentifierTypeStateIssuer
FO9263911OtherOHMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050918000004 OH Part B Supplier - Clinic/Group Practice 3274566393 Receives reassigned benefits from 3 practitioners
Practice locations: Steubenville, OH
O20100930015003 OH DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 3274566393 Practice locations: Steubenville, OH

National Provider Directory

National Provider Directory

Locations

2315 Sunset Blvd
Ste B
Steubenville, OH 43952
Phone (740) 264-7148

703 Colliers Way
Weirton, WV 26062
Phone (304) 723-3355

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487648739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "SUITE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "SUITE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT STEUBEN OPHTHALMOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SELLITTI",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-264-7148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "FO9263911",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.