Angelina Theresa Bucci Eye Surgery Center

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

1476 Issued in PA

Legal business name

ANGELINA THERESA BUCCI EYE SURGERY CENTER

Practice address

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

Phone

(570) 970-1414

Fax

(570) 825-1414

NPI assigned

Feb 22, 2007

Organization subpart

No

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) 970-1441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Angelina Theresa Bucci Eye Surgery CenterCCN 39C0001108

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Angelina Theresa Bucci Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wilkes Barre, PA
  • NPI 1760564223
  NPD tax ID

Locations

Practitioners 1

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

• Frank A Bucci Jr., MD

  • Ophthalmology Physician
  • Wilkes Barre, PA
  • NPI 1366425704
  NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831224922",
    "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": "570-970-1414",
            "fax_number": "570-825-1414"
        },
        {
            "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": "570-970-1414",
            "fax_number": "570-825-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA THERESA BUCCI EYE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "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": "570-970-1441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PA",
            "license": "1476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00018684350002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rita Aneja, MD
• Anesthesia Associates Inc.
• Angelic Augustin Senior Care Services, LLC
• Angelic Augustin Senior Care Services, LLC
• Angelina Theresa Bucci Eye Surgery Center
• Angeline Elizabeth Kirby Memorial Health Center
• Alexandra Angheloiu, MD
• Elizabeth Anne Anglim
• Joseph Anthony Anistranski, M.D.
• Zunaira Navid Ansari

• Ophthalmologic Surgery Clinic/Center in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Ophthalmologic Surgery Clinic/Center in Pennsylvania

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.