Organization Active NPI

Samuel Scardino O.D.,P.a.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1295994580
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2113 Issued in FL
Legal business name
SAMUEL SCARDINO O.D.,P.A.
Practice address
2830 N Hiawassee Rd
Orlando, FL 32818-3319
Phone
(407) 296-2020
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. Samuel Scardino, O.D.
Title
Optometrist
Phone
(407) 296-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC2113 FL Primary

Addresses

Primary practice location

2830 N Hiawassee Rd
Orlando, FL 32818-3319

Mailing address

2830 N Hiawassee Rd
Orlando, FL 32818-3319
Phone (407) 296-2020

Other identifiers 1

IdentifierTypeStateIssuer
078826100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1295994580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183319",
            "telephone_number": "407-296-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N HIAWASSEE RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328183319",
            "telephone_number": "407-296-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL SCARDINO O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "SCARDINO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-296-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078826100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.