Individual provider Active NPI

Mark Sorrentino, O.D.

  • Optometrist
  • Buffalo, NY
National Provider Identifier
1750422259
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY5242 Issued in NY
Practice address
403 Main St
510 Brisbane Building
Buffalo, NY 14203-2109
Phone
(716) 852-7262
Fax
(716) 852-7267
NPI assigned
Feb 9, 2007
Sex
Male
Sole proprietor
Yes

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 NY5242 NY Primary

Addresses

Primary practice location

403 Main St
510 Brisbane Building
Buffalo, NY 14203-2109

Mailing address

403 Main St
510 Brisbane Building
Buffalo, NY 14203-2109
Phone (716) 852-7262

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120112000150 NY Practitioner - Optometry 7810164092 Receives reassigned benefits from 2 practitioners
Practice locations: Buffalo, NY; Orchard Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

403 Main St
Suite 510
Buffalo, NY 14203-2107
Phone (716) 852-7262

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY5242NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Mark Sorrentino Optometrist CurrentSince Oct 1, 1999 Accepting new patients

Locations

403 Main St
Ste 510
Buffalo, NY 14203
Phone (716) 852-7262

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750422259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MAIN ST",
            "address_2": "510 BRISBANE BUILDING",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032109",
            "telephone_number": "716-852-7262",
            "fax_number": "716-852-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MAIN ST",
            "address_2": "510 BRISBANE BUILDING",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142032109",
            "telephone_number": "716-852-7262",
            "fax_number": "716-852-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTINO",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY5242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.