Roger Lee Saneholtz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OH3144 Issued in OH

Practice address

306 W Main St
Montpelier, OH 43543

Phone

(419) 485-4257

Fax

(419) 485-3520

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tri-State Vision Center, Inc.

  • Optometrist
  • Montpelier, OH
  • NPI 1568573350
  Medicare reassignment NPD
• Don'S Optical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bryan, OH
  • NPI 1487752291
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1982676128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "43543",
            "telephone_number": "419-485-4257",
            "fax_number": "419-485-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "43543",
            "telephone_number": "419-485-4257",
            "fax_number": "419-485-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANEHOLTZ",
        "first_name": "ROGER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH3144",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "T635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisha Roden
• Cheryl Lynn Roush, OTR/L
• Safeguard Billing Services, LLC
• Samaritan Emergency Physicians LLP
• Constance Marie Sandoval
• Joshua M Schlade, D.C.
• Glen T Seaman, MD
• Brittany Nicole Sharp
• Eryn Shaw
• Daniel M Sheperd, DDS

• Optometrist in Montpelier, OH
• Providers in Montpelier, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.