Individual provider Active NPI

Vincent Possanza, OD

  • Optometrist
  • Scranton, PA
National Provider Identifier
1891845897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001299 Issued in PA
Practice address
RT. 6 & I 81
Sears Optical, Viewmont Mall
Scranton, PA 18508
Phone
(570) 344-6911
Fax
(570) 348-0809
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001299 PA Primary

Addresses

Primary practice location

RT. 6 & I 81
Sears Optical, Viewmont Mall
Scranton, PA 18508

Mailing address

26 Siniawa Dr
Archbald, PA 18403-2318
Phone (570) 876-1059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040618000153 PA Practitioner - Optometry 3476537150 Practice locations: Towanda, PA; Whitehall, PA; Scranton, PA; Dickson City, PA
I20100108000065 NY Practitioner - Optometry 3476537150 Practice locations: Johnson City, NY; Vestal, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1140 Commerce Blvd
Dickson City, PA 18519-1688
Phone (570) 489-1380

3112 Vestal Pkwy E
Target Optical
Vestal, NY 13850-2038
Phone (607) 729-4385

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001299PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ben Domiano Optical Center LLC Optometrist Past Accepting new patients
Ben Domiano Optical Incorporated PastSince Jan 10, 2017 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vincent.possanza.p7@direct.grophthalmology.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891845897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SINIAWA DR",
            "city": "ARCHBALD",
            "state": "PA",
            "postal_code": "184032318",
            "telephone_number": "570-876-1059",
            "fax_number": "570-348-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT. 6 & I 81",
            "address_2": "SEARS OPTICAL, VIEWMONT MALL",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18508",
            "telephone_number": "570-344-6911",
            "fax_number": "570-348-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSSANZA",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.