Active NPI
Anthony N Sacco OD PC
- Optometrist
- Concord, NH
National Provider Identifier
1962586594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 461
- Legal business name
- ANTHONY N SACCO OD PC
- Practice address
- 21 Green Street
Concord, NH 03301 - Phone
- (603) 224-0971
- Fax
- (603) 224-8349
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony N Sacco, OD
- Title
- Owner Optometrist
- Phone
- (603) 224-0971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 461 | NH | Primary |
Addresses
Primary practice location
21 Green Street
Concord, NH 03301
Mailing address
21 Green St Ste 1
Concord, NH 03301-4000
Phone (603) 224-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NH9234 | Other | NH | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930051734 | NH | DME Supplier - Physician - Optometrist | 0042380826 | Practice locations: Concord, NH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Anthony N Sacco OD PC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
21 Green St
Ste 1
Concord, NH 03301
Phone (603) 224-0971
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Manchester, NH
- NPI 1629014089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1962586594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GREEN ST STE 1",
"city": "CONCORD",
"state": "NH",
"postal_code": "033014000",
"telephone_number": "603-224-0971",
"fax_number": "603-224-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GREEN STREET",
"city": "CONCORD",
"state": "NH",
"postal_code": "03301",
"telephone_number": "603-224-0971",
"fax_number": "603-224-8349"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY N SACCO OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "SACCO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER OPTOMETRIST",
"authorized_official_telephone_number": "603-224-0971",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NH",
"license": "461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NH9234",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.