Active NPI
Danielle Staresinic, OD
- Optometrist
- Pittsburgh, PA
National Provider Identifier
1790777498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000851
- Practice address
- 4122 Butler St
Pittsburgh, PA 15201-3162 - Phone
- (412) 682-2339
- Fax
- (412) 682-2809
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000851 | PA | Primary |
Addresses
Primary practice location
4122 Butler St
Pittsburgh, PA 15201-3162
Mailing address
4122 Butler St
Pittsburgh, PA 15201-3162
Phone (412) 682-2339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019235370002 | Medicaid | PA | |
| 058539 | Other | OH | MEDICARE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2893 W Liberty Ave
Pittsburgh, PA 15216-2619
Phone (412) 344-8534
4321 Butler St
Pittsburgh, PA 15201-3009
Phone (412) 682-2339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dormont Vision Center LLC | Optometrist | Current | Accepting new patients |
| Lawrenceville Vision Care, P.C. | Optometrist | Current | Accepting new patients |
| Ophthalmology Consultants, PC | Past | Accepting new patients |
Locations
2893 W Liberty Ave
Pittsburgh, PA 15216
Phone (412) 344-8534
Interoperability endpoints
- https://api.platform.athenahealth.com/15086/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Optometrist
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- NPI 1184882797
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- Optometrist
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- NPI 1063524726
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- Specialist
- Aliquippa, PA
- NPI 1265533889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247788800000",
"number": "1790777498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 BUTLER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152013162",
"telephone_number": "412-682-2339",
"fax_number": "412-382-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 BUTLER ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152013162",
"telephone_number": "412-682-2339",
"fax_number": "412-682-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARESINIC",
"first_name": "DANIELLE",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2009-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019235370002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "058539",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.