Organization Active NPI

Bucci Cataract and Laser Vision Institute

  • Specialist
  • Wilkes Barre, PA
National Provider Identifier
1508991688
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD046074L Issued in PA
Legal business name
BUCCI CATARACT AND LASER VISION INSTITUTE
Practice address
158 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6704
Phone
(570) 825-5949
Fax
(570) 825-2645
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Frank A Bucci Sr., MDNPI 1366425704
Title
Medical Director
Phone
(570) 825-5949

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD046074L PA Primary

Addresses

Primary practice location

158 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6704

Mailing address

158 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6704
Phone (570) 825-5949

Other identifiers 1

IdentifierTypeStateIssuer
001711731001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000693 PA Part B Supplier - Clinic/Group Practice 8224928668 Receives reassigned benefits from 3 practitioners
Practice locations: Wilkes Barre, PA; Stroudsburg, PA; Scranton, PA; Mt Pocono, PA; Old Forge, PA; Hazle Township, PA
O20100930041313 PA DME Supplier - Physician - Ophthalmology 8224928668 Practice locations: Wilkes Barre, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2086439Bucci Cataract and Laser Vision Institute158 Wilkes Barre Township Blvd, Wilkes Barre, PA 18702Certificate of waiverNov 3, 2026

National Provider Directory

National Provider Directory

Locations

189 N Main St
Old Forge, PA 18518
Phone (570) 451-2020

158 N Wilkes Barre Blvd
Wilkes Barre Township, PA 18702
Phone (570) 825-5949

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1508991688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WILKES BARRE TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026704",
            "telephone_number": "570-825-5949",
            "fax_number": "570-825-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WILKES BARRE TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026704",
            "telephone_number": "570-825-5949",
            "fax_number": "570-825-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCCI CATARACT AND LASER VISION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-825-5949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD046074L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001711731001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.