DR. SREENIVASA BASAVANTHAPPA (NPI# 1497953871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497953871 |
| Entity Type | Individual |
| Full Name | DR. SREENIVASA BASAVANTHAPPA |
| Credential | MD |
| Practice Address |
479 Old Union Tpke Lancaster MA 01523-3029 |
| Practice Telephone | 9785373900 |
| Practice Fax Number | 9785376030 |
| Mailing Telephone | 9785373900 |
| Mailing Fax Number | 9785376030 |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2013-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 250444 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110096239A | 05 |
| Street Address |
479 OLD UNION TPKE |
| City | LANCASTER |
| State | MA |
| Zip Code | 01523-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132529 | Bin Wu | Ophthalmology | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2005-11-22 |
| 1861009524 | Alyssa R Gard | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2020-09-28 |
| 1932758729 | Melissa A Guertin | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2019-09-05 |
| 1306314125 | Riana E Panagiotes | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2018-11-09 |
| 1104303858 | Elite Bor-shavit | Ophthalmology | 479 Old Union Tpke, Lancaster, MA 01523 | 2018-07-25 |
| 1588154835 | Brenda Komari | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523 | 2018-05-12 |
| 1275056814 | Ramkumar Ramamirtham | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2017-07-25 |
| 1336681246 | Khrista R Porfido | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-11-09 |
| 1104374628 | Judy Bavongkhoun | Optometrist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-09-13 |
| 1831642404 | Joan Shandrowski | Technician/Technologist | 479 Old Union Tpke, Lancaster, MA 01523-3029 | 2016-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598014607 | Toral Patel | Optometrist | 479 Old Union Turnpike, Lancaster, MA 01523 | 2012-09-05 |
| 1275775280 | Greta Madeline Schnee | Counselor | 971 Main St, Lancaster, MA 01523 | 2009-04-06 |
| 1689866253 | Tracy Angeletti | Social Worker | 850 Main Street, Lancaster, MA 01523 | 2007-08-16 |
| 1346307766 | Michael Eliastam | Internal Medicine | 863 Main Street, Lancaster, MA 01523 | 2007-01-03 |
| 1265774145 | Suzanne Crawford-stacy | Speech-Language Pathologist | 9 Rigby Rd, Lancaster, MA 01523-1701 | 2013-03-19 |
| 1316190804 | Theodore Read Nelson | Dentist | 387 Sterling St, Lancaster, MA 01523-1843 | 2008-10-28 |
| 1366936858 | Malayvanh Sarivong | Behavior Technician | 265 Deershorn Rd # 4b, Lancaster, MA 01523-1873 | 2018-06-18 |
| 1851936074 | Raul Alarcon | Student in an Organized Health Care Education/Training Program | 19 Sylvan Rd, Lancaster, MA 01523-1956 | 2019-11-12 |
| 1053739664 | Michlle Kelly | Behavioral Analyst | 224 Mill Street Ext, Lancaster, MA 01523-2004 | 2014-04-01 |
| 1700025822 | Lucette Ghislaine Henry Saturne | Developmental Therapist | 290 Bolton Station Rd, Lancaster, MA 01523-2010 | 2009-02-12 |
| Find all providers in zip 01523 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962974485 | Southwest Health Center, Inc. | Ophthalmology | 1509 Ihm St, Lancaster, WI 53813-9458 | 2018-12-21 |
| 1477824589 | John Herman Bowman | Ophthalmology | 824 Waterfront Dr, Lancaster, PA 17602-4122 | 2012-01-20 |
| 1528387438 | Justin M Shaw | Ophthalmology | 485 Royer Drive, Suite 103, Lancaster, PA 17601-5102 | 2010-05-18 |
| 1982929105 | Avneet Kaur Sodhi-gaur | Ophthalmology | 44815 Fig Ave, Lancaster, CA 93534-3144 | 2010-03-31 |
| 1194914820 | Eye Care Group of Lancaster LLC | Ophthalmology | 330 Centerville Rd, Lancaster, PA 17601-1326 | 2007-10-18 |
| 1609951078 | Ophthalmological Associates of Lancaster | Ophthalmology | 558 N Duke St, Lancaster, PA 17602 | 2006-10-26 |
| 1043259559 | Justin L Cappiello | Ophthalmology | 324 N Duke St, Lancaster, PA 17603-4952 | 2006-06-06 |
| 1447298252 | Joseph Leroy Calkins | Ophthalmology | 202 Butler Ave, Lancaster, PA 17601-6306 | 2006-06-03 |
| 1851357487 | Jeffrey H Chaby | Ophthalmology | 200 Butler Ave, Lancaster, PA 17601-6305 | 2006-04-22 |
| 1275593295 | David I Silbert | Ophthalmology | 2104 Spring Valley Rd, Lancaster, PA 17601-2427 | 2006-03-24 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.