Individual provider Active NPI

Mario Saracino, O.D., M.S.

  • Optometrist
  • Harrisburg, PA
National Provider Identifier
1649266735
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001502 Issued in PA
Practice address
4854 Londonderry Rd
Harrisburg, PA 17109-5207
Phone
(717) 657-3682
NPI assigned
Sep 23, 2005
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
069622OtherPAMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000079 PA Practitioner - Optometry 3779537915 Reassigns benefits to 1 organization

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
Capital Vision Center IncGroup PAC ID 7719959063, 4 clinicians

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

LicenseStateTypeSpecialty
OEG001502PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Vision Center Inc Optometrist CurrentSince Jan 3, 2005 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

Verify at the official NPI Registry.