Charles M Sangeorge II, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006278 Issued in NY

Practice address

4255 McKinley Pkwy
Inside Wal-Mart Vision Center
Hamburg, NY 14075-1005

Phone

(716) 646-0564

Fax

(716) 646-0571

NPI assigned

Jun 28, 2005

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 8

Medicare fee-for-service enrollment

Enrolled in NY

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

New England College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• O.D. Optometric P.C.

  • Optometrist
  • Hamburg, NY
  • NPI 1831270701
  Medicare reassignment NPD Authorized official
• Elegance Optique II, Inc.

  • Optician
  • Buffalo, NY
  • NPI 1578575908
  NPD (past) Authorized official

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1750387353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4255 MCKINLEY PKWY",
            "address_2": "INSIDE WAL-MART VISION CENTER",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751005",
            "telephone_number": "716-646-0564",
            "fax_number": "716-646-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 MCKINLEY PKWY",
            "address_2": "INSIDE WAL-MART VISION CENTER",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751005",
            "telephone_number": "716-646-0564",
            "fax_number": "716-646-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGEORGE",
        "first_name": "CHARLES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "919920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000390184002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY3441",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "50527",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000390184004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "17207",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION",
            "identifier": "141345",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC & BS",
            "identifier": "988665",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safe Harbor Chiropractic, P.C.
• Andrew Joseph Salamino
• Erica Leigh Samek, LCSW-R
• Laura Elizabeth Samworth, MS CCC-SLP
• Beth A Sanders
• Michael Patrick Sanly
• Samantha Sansone, LMT
• Kristen Saskowski, OTR/L
• Jennifer Saul, RN
• Andrew P Sauvageau, MD

• Optometrist in Hamburg, NY
• Providers in Hamburg, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.