Individual provider Active NPI

Sam M. Salituro Jr., O.D.

  • Optometrist
  • Des Plaines, IL
National Provider Identifier
1720104813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
1070 E Oakton St
Des Plaines, IL 60018-2033
Phone
(847) 294-6722
Fax
(847) 294-6822
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

1070 E Oakton St
Des Plaines, IL 60018-2033

Mailing address

746 W Meryls CT
Palatine, IL 60074-1053
Phone (847) 991-1870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20081029000643 IL Practitioner - Optometry 3072671460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sam Salituro IncGroup PAC ID 4880752278, 2 clinicians

Practice addresses (Care Compare)

1070 E Oakton St
Des Plaines, IL 60018-2033
Phone (847) 294-6722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-008548ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Salituro Inc Optometrist CurrentSince Sep 1, 2008 Accepting new patients

Locations

1070 E Oakton St
Des Plaines, IL 60018
Phone (847) 294-6722

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720104813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 W MERYLS CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600741053",
            "telephone_number": "847-991-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 E OAKTON ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182033",
            "telephone_number": "847-294-6722",
            "fax_number": "847-294-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALITURO",
        "first_name": "SAM",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.