Organization Active NPI

Angelina Theresa Bucci Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wilkes Barre, PA
National Provider Identifier
1760564223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ANGELINA THERESA BUCCI EYE SURGERY CENTER
Practice address
158 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6704
Phone
(570) 825-5949
Fax
(570) 825-2645
NPI assigned
Oct 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frank A Bucci Jr., M.D.NPI 1366425704
Title
Medical Director
Phone
(570) 825-5949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X PA Primary

Addresses

Primary practice location

158 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6704

Mailing address

158 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6704
Phone (570) 825-5949

Other identifiers 1

IdentifierTypeStateIssuer
01868435MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Angelina Theresa Bucci Eye Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760564223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 WILKES BARRE TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026704",
            "telephone_number": "570-825-5949",
            "fax_number": "570-825-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 WILKES BARRE TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026704",
            "telephone_number": "570-825-5949",
            "fax_number": "570-825-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA THERESA BUCCI EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCCI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "570-825-5949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01868435",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.