Active NPI
Mario Saracino, O.D., M.S.
- Optometrist
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001502
- Practice address
- 4854 Londonderry Rd
Harrisburg, PA 17109-5207 - Phone
- (717) 657-3682
- NPI assigned
- Sep 23, 2005
- Last updated
- Aug 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001502 | PA | Primary |
Addresses
Primary practice location
4854 Londonderry Rd
Harrisburg, PA 17109-5207
Mailing address
4854 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-3682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 069622 | Other | PA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4854 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-3682
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001502 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Vision Center Inc | Optometrist | Current | Accepting new patients |
Locations
3100 Gettysburg Rd
Camp Hill, PA 17011
Phone (717) 763-9700
4854 Londonderry Rd
Harrisburg, PA 17109
Phone (717) 652-7774
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1649266735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4854 LONDONDERRY RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095207",
"telephone_number": "717-657-3682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4854 LONDONDERRY RD",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171095207",
"telephone_number": "717-657-3682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARACINO",
"first_name": "MARIO",
"name_prefix": "Dr.",
"credential": "O.D., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "069622",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.