George Augustus Santos Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3235 Issued in MA

Practice address

638 Main St.
Vineyard Haven, MA 02568-0327

Phone

(508) 693-7222

Fax

(508) 693-8739

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Optometry

Education

New England College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1851490312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680327",
            "telephone_number": "508-693-7222",
            "fax_number": "508-693-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 MAIN ST.",
            "city": "VINEYARD HAVEN",
            "state": "MA",
            "postal_code": "025680327",
            "telephone_number": "508-693-7222",
            "fax_number": "508-693-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "GEORGE",
        "middle_name": "AUGUSTUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353647",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Renee Ricketts
• Jessica Roberto, LCSW
• Cynthia Ann Robinson, M.A.
• Kara M Rogers, CRNA, FNP-C
• Amanda Harmony Saltzberg, M.A., L.M.H.C.
• Elina Fishman Savage
• Helene F Schaeffer, DMD
• Annika Schahn, PH.D.
• Jenev Schilling, LCSW
• Laura J. Schroeder, LMHC

• Optometrist in Vineyard Haven, MA
• Providers in Vineyard Haven, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.

Verify at the official NPI Registry.