Rigen Pamin Saltivan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003766 Issued in PA

Practice address

4077 NW Wisteria Dr
Lake City, FL 32055-4890

Phone

(386) 344-1483

NPI assigned

Mar 23, 2021

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1497331938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 NW WISTERIA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554890",
            "telephone_number": "386-344-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 NW WISTERIA DR",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554890",
            "telephone_number": "386-344-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTIVAN",
        "first_name": "RIGEN PAMIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Mind Psychiatry LLC
• Sacred Wings Counseling, LLC
• Jean Denis Saintvil, SPEECH THERAPIST-CF
• Salem Homes of Florida, Inc. (Spring Street Group Home)
• Salem Villages MRDD, Inc.
• James Alvin Salyers, RN
• Edward J. Sambey, M.D.
• Scott Brian Samera, DPM
• Imran Q Samnani, M.D.
• Amy Sampson

• Optometrist in Lake City, FL
• Providers in Lake City, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.