NPIMap

Individual provider Active NPI

Alfonso Lamendola Sitenga, OD

  • Optometrist
  • Kenai, AK
National Provider Identifier
1609445451
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
171412 Issued in AK
Practice address
115 Bidarka St
Kenai, AK 99611-7741
Phone
(907) 335-3358
NPI assigned
Jun 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 171412 AK Primary

Addresses

Primary practice location

115 Bidarka St
Kenai, AK 99611-7741

Mailing address

115 Bidarka St
Kenai, AK 99611-7741
Phone (907) 335-3358

Other practice location 1

4381 E Hill Rd
Homer, AK 99603-8203
Phone (907) 235-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706001424 AK Practitioner - Optometry 4284036823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sitenga Eye Associates LLCGroup PAC ID 8123427580, 3 clinicians

Practice addresses (Care Compare)

115 Bidarka St
Kenai, AK 99611-7741
Phone (907) 335-3358

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024
  • South Peninsula Hospital Hospital, Homer, AK, CCN 021313

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
171412AKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sitenga Eye Associates LLC CurrentSince Jul 10, 2021 Accepting new patients
Garret Lamendola Sitenga PastSince Jul 10, 2021 Accepting new patients

Locations

4381 East Hill Rd
Homer, AK 99603
Phone (907) 235-2358

115 Bidarka St
Kenai, AK 99611
Phone (907) 335-3358

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1609445451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BIDARKA ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117741",
            "telephone_number": "907-335-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BIDARKA ST",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117741",
            "telephone_number": "907-335-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4381 E Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Homer",
            "state": "AK",
            "postal_code": "996038203",
            "country_code": "US",
            "telephone_number": "907-235-2358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SITENGA",
        "first_name": "ALFONSO",
        "middle_name": "LAMENDOLA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "171412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenai, AK

Sources for this page

Verify at the official NPI Registry.