Individual provider Active NPI

Dorit Maydan Scharff, O.D.

  • Optometrist
  • Santa Clara, CA
National Provider Identifier
1124098561
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9046T Issued in CA
Practice address
1190 Scott Blvd
Santa Clara, CA 95050-4562
Phone
(408) 244-4335
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 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 9046T CA Primary

Addresses

Primary practice location

1190 Scott Blvd
Santa Clara, CA 95050-4562

Mailing address

1190 Scott Blvd
Santa Clara, CA 95050-4562
Phone (408) 244-4335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080318000505 CA Practitioner - Optometry 2163508086 Reassigns benefits to 1 organization
Practice locations: Santa Clara, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yura Kim OD IncGroup PAC ID 5193262970, 4 clinicians

Practice addresses (Care Compare)

1190 Scott Blvd
Suite a
Santa Clara, CA 95050-4562
Phone (408) 247-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9046TCAMDOptometrist
9046CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Yura Kim OD Inc CurrentSince Oct 6, 2024 Accepting new patients
Steven a. Neunzig, O.D., Inc. Optometrist PastSince Oct 6, 2024 Accepting new patients
Dodd R Portman, OD, Inc Optometrist PastSince Jul 1, 2008 Accepting new patients

Locations

1190 Scott Blvd
Ste A
Santa Clara, CA 95050
Phone (408) 247-2600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1124098561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504562",
            "telephone_number": "408-244-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 SCOTT BLVD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504562",
            "telephone_number": "408-244-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARFF",
        "first_name": "DORIT",
        "middle_name": "MAYDAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9046T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

Verify at the official NPI Registry.