Organization Active NPI

Sardella Eye Associates LLC

  • Corneal and Contact Management Optometrist
  • Kennett Square, PA
National Provider Identifier
1487893848
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OE007679A Issued in PA
Legal business name
SARDELLA EYE ASSOCIATES LLC
Practice address
674 Unionville Rd
Kennett Square, PA 19348-4712
Phone
(610) 444-1999
Fax
(610) 444-3133
NPI assigned
Feb 9, 2009
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Renny Stephen Sardella, O.D.NPI 1063475572
Title
Owner
Phone
(610) 444-1999

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
Corneal and Contact Management Optometrist 152WC0802X OE007679A PA Primary

Addresses

Primary practice location

674 Unionville Rd
Kennett Square, PA 19348-4712

Mailing address

674 Unionville Rd
Kennett Square, PA 19348-4712
Phone (610) 444-1999

Other names 1

  • SARDELLA EYE ASSOCIATES LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090911000013 PA Part B Supplier - Clinic/Group Practice 8820143035 Receives reassigned benefits from 2 practitioners
Practice locations: Kennett Square, PA

National Provider Directory

National Provider Directory

Locations

674 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-1999

674 Unionville Rd
Ste 103
Kennett Square, PA 19348
Phone (610) 444-1999

694 Unionville Rd
Kennett Square, PA 19348
Phone (610) 444-1999

Practitioners & affiliated clinicians

Practitioners 3

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": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1487893848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "674 UNIONVILLE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193484712",
            "telephone_number": "610-444-1999",
            "fax_number": "610-444-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 UNIONVILLE RD",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193484712",
            "telephone_number": "610-444-1999",
            "fax_number": "610-444-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARDELLA EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "SARDELLA",
        "authorized_official_first_name": "RENNY",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-444-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OE007679A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARDELLA EYE ASSOCIATES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.