Individual provider Active NPI

Mary P Scozzari, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1194886507
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2551 Issued in FL
Practice address
700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone
(813) 877-4935
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T005230 NY
Optometrist 152W00000X OPC2551 FL Primary

Addresses

Primary practice location

700 S Dale Mabry Hwy
Tampa, FL 33609-4409

Mailing address

PO Box 7736
Wesley Chapel, FL 33545-0113
Phone (516) 924-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250804002694 CO Practitioner - Optometry 3971841222 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T005230NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Jul 21, 2025 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Jul 21, 2025 Accepting new patients
Sowash Optometry Group PC Past Accepting new patients

Locations

6252 S Central St
Aurora, CO 80016
Phone (303) 693-0333

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

Networks

  • Freedom Health HMO Network

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1194886507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7736",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335450113",
            "telephone_number": "516-924-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "813-877-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOZZARI",
        "first_name": "MARY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005230",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.