Individual provider Active NPI

Martha Laurel Santa Croce, O.D.

  • Optometrist
  • Endicott, NY
National Provider Identifier
1952496960
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TU-005380-1 Issued in NY
Practice address
32 Garfield Ave
Endicott, NY 13760-5450
Phone
(607) 754-8670
Fax
(607) 786-5318
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 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 TU-005380-1 NY Primary

Addresses

Primary practice location

32 Garfield Ave
Endicott, NY 13760-5450

Mailing address

48 Dickinson Ave
Binghamton, NY 13901-1737
Phone (607) 724-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000389 NY Practitioner - Optometry 4880869205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

32 Garfield Ave
Endicott, NY 13760-5450
Phone (607) 754-8670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TU-005380-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Ferro Weiss CurrentSince Nov 21, 2013 Accepting new patients

Locations

32 Garfield Ave
Endicott, NY 13760
Phone (607) 754-8670

Organizations & group practices 1

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1952496960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 DICKINSON AVE",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139011737",
            "telephone_number": "607-724-0102",
            "fax_number": "607-786-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 GARFIELD AVE",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137605450",
            "telephone_number": "607-754-8670",
            "fax_number": "607-786-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA CROCE",
        "first_name": "MARTHA",
        "middle_name": "LAUREL",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU-005380-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

Verify at the official NPI Registry.