Individual provider Active NPI

Arthur Leonard Schlofman, O.D.

  • Optometrist
  • Starke, FL
National Provider Identifier
1013997055
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1499 Issued in FL
Practice address
1105 S Walnut St
Starke, FL 32091-4413
Phone
(904) 964-8076
Fax
(904) 964-8107
NPI assigned
Jan 17, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1499 FL Primary

Addresses

Primary practice location

1105 S Walnut St
Starke, FL 32091-4413

Mailing address

1105 S Walnut St
P.O. Box 190
Starke, FL 32091-4413
Phone (904) 964-8076

Other identifiers 1

IdentifierTypeStateIssuer
078000600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20031217000991 FL Practitioner - Optometry 2466359302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Schlofman O.D P.L.L.C.Group PAC ID 0244376622, 3 clinicians

Practice addresses (Care Compare)

292 Lafayette St
Starke, FL 32091-3913
Phone (904) 964-8076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OPC 1499FLMDOptometrist
1499FLMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Schlofman O.D P.L.L.C. Optometrist CurrentSince Jul 1, 2016 Accepting new patients

Locations

1105 S Walnut St
Starke, FL 32091
Phone (904) 964-4327

Interoperability endpoints

  • Direct secure messaging: arthur.schlofman@direct.revolutionehr.com

Organizations & group practices 2

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1013997055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 S WALNUT ST",
            "address_2": "P.O. BOX 190",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914413",
            "telephone_number": "904-964-8076",
            "fax_number": "904-964-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S WALNUT ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914413",
            "telephone_number": "904-964-8076",
            "fax_number": "904-964-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOFMAN",
        "first_name": "ARTHUR",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078000600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

Verify at the official NPI Registry.