Susquehanna Eye Associates LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SUSQUEHANNA EYE ASSOCIATES LLC

Practice address

930 Bellefonte Ave
Suite 108
Lock Haven, PA 17745-2754

Phone

(570) 748-8900

Fax

(570) 748-3200

NPI assigned

Dec 4, 2006

Last updated

Oct 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George M Sadka, MDNPI 1508924606

Title

Owner

Phone

(570) 748-8900

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA, MD3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 6

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.

• George M Sadka, MD

  • Ophthalmology Physician
  • Lock Haven, PA
  • NPI 1508924606

  MD

  Medicare reassignment Care Compare group NPD Authorized official
• Stefano R Carpenetti, DO

  • Ophthalmology Physician
  • Lock Haven, PA
  • NPI 1811055981
  Medicare reassignment Care Compare group NPD
• Melissa Nancy Randecker, O.D.

  • Optometrist
  • Lock Haven, PA
  • NPI 1164506739
  Medicare reassignment Care Compare group NPD
• Penelope Stammer Doud, O.D.

  • Optometrist
  • Annapolis, MD
  • NPI 1881632313
  NPD (past)
• Vincente Mario Simoncini, OD

  • Corneal and Contact Management Optometrist
  • Annapolis, MD
  • NPI 1265570014
  NPD (past)
• Rose Susel, OD OPTOMETRIST

  • Optometrist
  • Davidsonville, MD
  • NPI 1851446751
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1881752954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 BELLEFONTE AVE",
            "address_2": "SUITE 108",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452754",
            "telephone_number": "570-748-8900",
            "fax_number": "570-748-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BELLEFONTE AVE",
            "address_2": "SUITE 108",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452754",
            "telephone_number": "570-748-8900",
            "fax_number": "570-748-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "SADKA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-748-8900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "025709E",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50002341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD4803",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014840800007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Stahl
• Grace Marie Stetter
• Stephen Streator
• Richard G Stuempfle, D.P.M.
• Susque-View Home, Inc
• Susquehanna Physician Services
• Susquehanna Physician Services
• Susquehanna Physician Services (Susquehanna Health Medical Group)
• Suzanne E Edwards, DMD, PC
• SV Opco LLC

• Ophthalmology Physician in Lock Haven, PA
• Providers in Lock Haven, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.