Individual provider Active NPI

Jason Edward Sant

  • Optometrist
  • Orlando, FL
National Provider Identifier
1053416024
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2821 Issued in FL
Practice address
3817 E Colonial Dr
Orlando, FL 32803-5207
Phone
(407) 924-1370
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 2821 FL Primary

Addresses

Primary practice location

3817 E Colonial Dr
Orlando, FL 32803-5207

Mailing address

PO Box 446
Gotha, FL 34734-0446
Phone (407) 924-1370

Other identifiers 1

IdentifierTypeStateIssuer
6209114MedicaidFL

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
I20031217000630 FL Practitioner - Optometry 1951208917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2821FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince May 11, 2011 Accepting new patients
Dr Sant and Associates OD PA Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

5237 Summerlin Commons Blvd
#333
Fort Myers, FL 33907
Phone (239) 275-2241

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

330 N Alafaya Trl
Orlando, FL 32828
Phone (407) 208-1027

3808 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-7533

3817 E Colonial Dr
Orlando, FL 32803
Phone (407) 897-3570

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053416024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "GOTHA",
            "state": "FL",
            "postal_code": "347340446",
            "telephone_number": "407-924-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035207",
            "telephone_number": "407-924-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANT",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6209114",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.