Active NPI
James Pasquale Santanelli, O.D
- Optometrist
- Hamden, CT
National Provider Identifier
1912022971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0000912
- Practice address
- 184 Garvin Rd
Hamden, CT 06518-1406 - Phone
- (203) 248-9426
- Fax
- (203) 248-9426
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0000912 | CT | Primary |
Addresses
Primary practice location
184 Garvin Rd
Hamden, CT 06518-1406
Mailing address
184 Garvin Rd.
Hamden, CT 06518-1406
Phone (203) 248-9426
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090000912CT01 | Other | CT | ANTHEM BLUE CROSS |
| CT0314 | Other | CT | EYEMED |
| 702999 | Other | CT | CONNECTICARE |
| 2V8791 | Other | CT | HEALTH NET |
| 3841287 | Other | CT | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000912 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912022971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 GARVIN RD.",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065181406",
"telephone_number": "203-248-9426",
"fax_number": "203-248-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 GARVIN RD",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065181406",
"telephone_number": "203-248-9426",
"fax_number": "203-248-9426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTANELLI",
"first_name": "JAMES",
"middle_name": "PASQUALE",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "0000912",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "090000912CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "CT0314",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "702999",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "2V8791",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3841287",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.