Organization Active NPI

Scolinos Optometry Redondo Beach, Inc.

  • Optometrist
  • Redondo Beach, CA
National Provider Identifier
1417731191
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SCOLINOS OPTOMETRY REDONDO BEACH, INC.
Practice address
1509 Hawthorne Blvd.
Suite 105
Redondo Beach, CA 90278
Phone
(424) 247-2020
NPI assigned
Aug 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Dr. Frank Scolinos, O.D.
Title
Owner/President
Phone
(310) 663-9161

Specialties & licenses 1

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

Addresses

Primary practice location

1509 Hawthorne Blvd.
Suite 105
Redondo Beach, CA 90278

Mailing address

1509 Hawthorne Blvd.
Suite 105
Redondo Beach, CA 90278
Phone (310) 663-9161

Other identifiers 2

IdentifierTypeStateIssuer
U37112OtherCAMEDICARE
SD0095680MedicaidCA

Other names 1

  • Bling Optometry Redondo Beach Doing business as

National Provider Directory

National Provider Directory

Locations

1509 Hawthorne Blvd
Ste 105
Redondo Beach, CA 90278
Phone (424) 247-2020

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1417731191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 HAWTHORNE BLVD.",
            "address_2": "SUITE 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "310-663-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HAWTHORNE BLVD.",
            "address_2": "SUITE 105",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "424-247-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLINOS OPTOMETRY REDONDO BEACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "SCOLINOS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "310-663-9161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "U37112",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0095680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bling Optometry Redondo Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.