Organization Active NPI

Tri State Lasik and Cataract Centers LLC

Doing business as Spartan Eye Services

  • Ophthalmology Physician
  • Monongahela, PA
National Provider Identifier
1568616415
Registry record updated Mar 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TRI STATE LASIK AND CATARACT CENTERS LLC
Doing business as
Spartan Eye Services
Practice address
100 Stoops Dr
Monongahela, PA 15063-3553
Phone
(724) 483-9290
Fax
(724) 483-0404
NPI assigned
Nov 5, 2008
Last updated
Mar 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2009

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

Authorized official

Name
Dr. John J Martinelli, ODNPI 1932180965
Title
Ceo
Phone
(724) 483-9290

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 Physician 207W00000X NU Primary

Addresses

Primary practice location

100 Stoops Dr
Monongahela, PA 15063-3553

Mailing address

PO Box 117
Charleroi, PA 15022-0117
Phone (724) 483-9290

Other names 1

  • Spartan Eye Services Doing business as

National Provider Directory

National Provider Directory

Locations

File 749250
Los Angeles, CA 90074

Practitioners & affiliated clinicians

Practitioners 2

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1568616415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150220117",
            "telephone_number": "724-483-9290",
            "fax_number": "724-483-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STOOPS DR",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150633553",
            "telephone_number": "724-483-9290",
            "fax_number": "724-483-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE LASIK AND CATARACT CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MARTINELLI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-483-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spartan Eye Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monongahela, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.