Charles San George

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C00341-1 Issued in NY

Practice address

1754 Sheridan Dr
Buffalo, NY 14223-1212

Phone

(716) 874-4600

NPI assigned

Apr 27, 2018

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Elegance Optique II, Inc.

  • Optician
  • Buffalo, NY
  • NPI 1578575908
  NPD (past)
• O.D. Optometric P.C.

  • Optometrist
  • Hamburg, NY
  • NPI 1831270701
  NPD (past)

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1932697646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 SHERIDAN DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231212",
            "telephone_number": "716-874-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 SHERIDAN DR",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231212",
            "telephone_number": "716-874-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN GEORGE",
        "first_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C00341-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY3441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Samuel
• Pansy L Samuel, NP
• Lisa Ann Samuels-Cox, MD
• Keisha Samuels
• Madelynn Samuels, PA-C
• Leah Sanchez-Jurado
• Yamilex Sanchez
• Sanctuary Counseling Inc
• Jennifer A Sander, RN
• Jessica Sanders

• Optician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.