Active NPI
Joseph Sansanelli Jr., O.D.
- Optometrist
- Fort Worth, TX
National Provider Identifier
1972537488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6850T
- Practice address
- 4821 Bryant Irvin Rd
Fort Worth, TX 76132-3615 - Phone
- (817) 346-1677
- NPI assigned
- Jul 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6850T | TX | Primary |
| Optometrist | 152W00000X | 4903 | NJ |
Addresses
Primary practice location
4821 Bryant Irvin Rd
Fort Worth, TX 76132-3615
Mailing address
2135 Stanley Ave
Fort Worth, TX 76110-1837
Phone (732) 223-3377
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4903 | NJ | MD | Optometrist |
| 6850T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Rita N Patel OD PA | Optometrist | Past | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Optometrist
- Irving, TX
- NPI 1285889857
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
-
- Eyewear Supplier
- Brick, NJ
- NPI 1164469300
-
- Optician
- Casper, WY
- NPI 1992747554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972537488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2135 STANLEY AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101837",
"telephone_number": "732-223-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 BRYANT IRVIN RD",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761323615",
"telephone_number": "817-346-1677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANSANELLI",
"first_name": "JOSEPH",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6850T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "4903",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
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.