Organization Active NPI

Theodore R. Sames, Jr., O.D.

  • Optometrist
  • Bethel Park, PA
National Provider Identifier
1811079627
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000971 Issued in PA
Legal business name
THEODORE R. SAMES, JR., O.D.
Practice address
4706 Library Rd
Bethel Park, PA 15102-2873
Phone
(412) 831-7757
Fax
(412) 854-3252
NPI assigned
Oct 20, 2006
Organization subpart
Yes
Parent organization
OPTICAL IMAGESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Theodore R Sames Jr., O.D.
Title
Owner Optometrist
Phone
(412) 831-7757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000971 PA Primary

Addresses

Primary practice location

4706 Library Rd
Bethel Park, PA 15102-2873

Mailing address

4706 Library Rd
Bethel Park, PA 15102-2873
Phone (412) 831-7757

Other identifiers 6

IdentifierTypeStateIssuer
0011379400004MedicaidPA
T98260OtherPAHEALTHAMERICA
452689OtherPAAETNA
6363107OtherPACIGNA
1688547OtherPAHIGHMARK
206767OtherPAUPMC

Other names 1

  • OPTICAL IMAGES Doing business as

National Provider Directory

National Provider Directory
Part of
Theodore R Sames Jr

Locations

4706 Library Rd
Bethel Park, PA 15102
Phone (412) 831-7757

238 Cresswood Dr
Elizabeth, PA 15037
Phone (412) 751-6600

Practitioners & affiliated clinicians

Practitioners 2

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

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": "1209513600000",
    "number": "1811079627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4706 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022873",
            "telephone_number": "412-831-7757",
            "fax_number": "412-854-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4706 LIBRARY RD",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022873",
            "telephone_number": "412-831-7757",
            "fax_number": "412-854-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE R. SAMES, JR., O.D.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTICAL IMAGES",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "SAMES",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "412-831-7757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011379400004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "T98260",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "452689",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6363107",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1688547",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "206767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTICAL IMAGES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.