Peter Anthony Santisi, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4171 Issued in FL

Practice address

950 N Courtenay Pkwy
Suite 12
Merritt Island, FL 32953-4501

Phone

(321) 453-1657

Fax

(321) 453-1659

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Peter a Santisi OD PL

  • Clinic/Center
  • Merritt Island, FL
  • NPI 1912195785

  Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1619083219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 NEW HAMPTON WAY",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533215",
            "telephone_number": "321-452-9768",
            "fax_number": "321-452-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N COURTENAY PKWY",
            "address_2": "SUITE 12",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534501",
            "telephone_number": "321-453-1657",
            "fax_number": "321-453-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTISI",
        "first_name": "PETER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00967051",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002931400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Salus Beachside LLC
• Jacqueline Lent Samani, RN
• Alexander Fernando San Diego Jr., D.P.M.
• Sally Harris Sange, M.D.
• Camille Marie Santarpio, D.O.
• Patricia Susan Santos, MPT
• Ashley Santus
• Savannah Saunders
• Paresh Dhanjibhai Savani, M.D.
• Catherine Owens Scarborough, M.S.P.T.

• Optometrist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2012; 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.
• 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.