Individual provider Active NPI

Scott Pandel Caleodis, O.D.

  • Optometrist
  • Springfield, OH
National Provider Identifier
1215080882
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4981 Issued in OH
Practice address
1475 Upper Valley Pike
Suite 448
Springfield, OH 45504-4047
Phone
(937) 525-9266
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 4981 OH Primary

Addresses

Primary practice location

1475 Upper Valley Pike
Suite 448
Springfield, OH 45504-4047

Mailing address

5759 Plank Dr
Hilliard, OH 43026-7346
Phone (614) 527-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090721000478 OH Practitioner - Optometry 0446302525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sawmill Eye Associates, Inc.Group PAC ID 6204989213, 4 clinicians

Practice addresses (Care Compare)

6500 Sawmill Rd
Columbus, OH 43235-4942
Phone (614) 734-2685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4981OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sawmill Eye Associates, Inc. Optometrist CurrentSince Jun 1, 2009 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

6500 Sawmill Rd
Columbus, OH 43235
Phone (614) 734-2685

5043 Tuttle Crossing Blvd
Ste 192
Dublin, OH 43016
Phone (440) 210-0321

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215080882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5759 PLANK DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267346",
            "telephone_number": "614-527-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 UPPER VALLEY PIKE",
            "address_2": "SUITE 448",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455044047",
            "telephone_number": "937-525-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALEODIS",
        "first_name": "SCOTT",
        "middle_name": "PANDEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.