Organization Active NPI

Brande Saad Group-Bedford

  • Optometrist
  • Everett, PA
National Provider Identifier
1891831079
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000603 Issued in PA
Legal business name
BRANDE SAAD GROUP-BEDFORD
Practice address
111 Fairview St.
Everett, PA 15537-6337
Phone
(814) 623-2020
Fax
(814) 623-7816
NPI assigned
Jan 29, 2007
Last updated
Jun 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Authorized official

Name
Dr. Jeffrey C Territo, O.D.NPI 1366422594
Title
Optometrist
Phone
(814) 623-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OEG000603 PA Primary

Addresses

Primary practice location

111 Fairview St.
Everett, PA 15537-6337

Mailing address

111 Fairview St.
Everett, PA 15537-6337
Phone (814) 623-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050418000369 PA Part B Supplier - Clinic/Group Practice 7810935202 Receives reassigned benefits from 3 practitioners
Practice locations: Everett, PA
O20100930033922 PA DME Supplier - Physician - Optometrist 7810935202 Practice locations: Everett, PA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Brande Saad Group-Bedford111 Fairview St, Everett, PA 15537-6337(814) 623-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1991

National Provider Directory

National Provider Directory

Locations

127 S Juliana St
Ste 4
Bedford, PA 15522
Phone (814) 623-2020

111 Fairview St
Everett, PA 15537
Phone (814) 623-2020

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465516800000",
    "number": "1891831079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FAIRVIEW ST.",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155376337",
            "telephone_number": "814-623-2020",
            "fax_number": "814-623-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FAIRVIEW ST.",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155376337",
            "telephone_number": "814-623-2020",
            "fax_number": "814-623-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDE SAAD GROUP-BEDFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-06-10",
        "status": "A",
        "authorized_official_last_name": "TERRITO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "814-623-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.