Individual provider Active NPI

Raymond M Cianni, OD

  • Optometrist
  • Levittown, PA
National Provider Identifier
1972684538
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001867 Issued in PA
Practice address
1568 Woodbourne Rd
Levittown, PA 19057-1508
Phone
(215) 943-7800
Fax
(215) 943-5799
NPI assigned
Oct 18, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001867 PA Primary

Addresses

Primary practice location

1568 Woodbourne Rd
Levittown, PA 19057-1508

Mailing address

1568 Woodbourne Rd
Levittown, PA 19057-1508
Phone (215) 943-7800

Other identifiers 1

IdentifierTypeStateIssuer
OEG001867OtherPAPA OPTOMETRIC LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070116000007 PA Practitioner - Optometry 8729088810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Eye Care Centers PCGroup PAC ID 1658360425, 13 clinicians

Practice addresses (Care Compare)

1568 Woodbourne Rd
Levittown, PA 19057-1508
Phone (215) 943-7800

451 S State St
Newtown, PA 18940-1978
Phone (215) 968-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001867PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Eye Care Centers, PC CurrentSince Jan 1, 2007 Accepting new patients
Campus Eye Group, LLC Optometrist Current Accepting new patients
Total Eye Care Centers PC Optometrist CurrentSince Jan 1, 2007 Accepting new patients

Locations

1568 Woodbourne Rd
Levittown, PA 19057
Phone (215) 943-7800

451 S State St
Newtown, PA 18940
Phone (215) 579-4300

Interoperability endpoints

  • Direct secure messaging: rcianni@campuseye.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972684538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 WOODBOURNE RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571508",
            "telephone_number": "215-943-7800",
            "fax_number": "215-943-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 WOODBOURNE RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190571508",
            "telephone_number": "215-943-7800",
            "fax_number": "215-943-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANNI",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA OPTOMETRIC LICENSE",
            "identifier": "OEG001867",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.