Organization Active NPI

Saveri Family Eyecare, Inc

  • Optometrist
  • Brodheadsville, PA
National Provider Identifier
1952717308
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002083 Issued in PA
Legal business name
SAVERI FAMILY EYECARE, INC
Doing business as
Saveri Family EyeCare
Practice address
1636 Route 209
106-107
Brodheadsville, PA 18322-7799
Phone
(570) 992-3933
Fax
(570) 402-2922
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dr. Marino Charles Saveri III, O.D.NPI 1376799379
Title
President
Phone
(570) 992-3933

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 OEG002083 PA Primary

Addresses

Primary practice location

1636 Route 209
106-107
Brodheadsville, PA 18322-7799

Mailing address

1636 Route 209
106-107
Brodheadsville, PA 18322-7799
Phone (570) 992-3933

Other names 1

  • Saveri Family EyeCare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140714000924 PA Part B Supplier - Clinic/Group Practice 2668697327 Receives reassigned benefits from 1 practitioner
Practice locations: Brodheadsville, PA

National Provider Directory

National Provider Directory

Locations

208 Kevin Ln
Ste 105
Brodheadsville, PA 18322
Phone (570) 216-3180

1636 Route 209
#106107
Brodheadsville, PA 18322
Phone (570) 992-3933

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1952717308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 ROUTE 209",
            "address_2": "106-107",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227799",
            "telephone_number": "570-992-3933",
            "fax_number": "570-402-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 ROUTE 209",
            "address_2": "106-107",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227799",
            "telephone_number": "570-992-3933",
            "fax_number": "570-402-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVERI FAMILY EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SAVERI",
        "authorized_official_first_name": "MARINO",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-992-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saveri Family EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brodheadsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.