Sachem Optics Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SACHEM OPTICS INC

Doing business as

Sachem Eye Care of Patchogue

Practice address

655 E Montauk Hwy Ste 29
East Patchogue, NY 11772-3154

Phone

(631) 576-4499

Fax

(631) 576-4253

NPI assigned

Sep 30, 2014

Last updated

Jun 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Eddy

Title

Billing Manager

Phone

(517) 231-4086

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SACHEM EYE CARE OF PATCHOGUE Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

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.

• Laura Ann Buccellato, OD

  • Optometrist
  • Ronkonkoma, NY
  • NPI 1932182938
  Medicare reassignment Care Compare group NPD
• Vanessa Rose Eger, OD

  • Optometrist
  • East Patchogue, NY
  • NPI 1366280521
  Medicare reassignment Care Compare group NPD
• Christopher Gentile, O.D.

  • Optometrist
  • Bellmore, NY
  • NPI 1235118134
  Medicare reassignment Care Compare group NPD
• Valerie Giangrande, O.D.

  • Optometrist
  • Freeport, NY
  • NPI 1033109525
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1518360924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E MONTAUK HWY STE 29",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117723154",
            "telephone_number": "631-576-4499",
            "fax_number": "631-576-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E MONTAUK HWY STE 29",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117723154",
            "telephone_number": "631-576-4499",
            "fax_number": "631-576-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACHEM OPTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-231-4086"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04096402",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SACHEM EYE CARE OF PATCHOGUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SACHEM EYE CARE OF PATCHOGUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerry A Rubano, MD
• Richard B Rubenstein, MD
• Kevin Alexander Rulka, MD
• Janet Ruquet, PT
• Saad a. Shukri, M.D, PC
• Alexa Sadowski, SERVICE COORDINATOR
• Gobindveer Singh Sahi, MD
• M Hani Salam, MD
• Andreea Saltu, LPN
• Stephan K Salvia, FNP

• Optometrist in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.