Active NPI
Scott Pandel Caleodis, O.D.
- Optometrist
- Springfield, OH
National Provider Identifier
1215080882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4981
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4981 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sawmill Eye Associates, Inc. | Optometrist | Current | 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.
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.