Individual provider Active NPI

Ginger Sadek, O.D.

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1487088761
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4810 Issued in FL
Practice address
7400 Palomino Dr Apt 522
Hollywood, FL 33024-2349
Phone
(727) 410-4902
NPI assigned
Aug 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4810 FL Primary

Addresses

Primary practice location

7400 Palomino Dr Apt 522
Hollywood, FL 33024-2349

Mailing address

7400 Palomino Dr Apt 522
Hollywood, FL 33024-2349
Phone (727) 410-4902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20131016000352 FL Practitioner - Optometry 1052545589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

3654 Harden Blvd
Lakeland, FL 33803-5968
Phone (863) 644-7242

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4810FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Sep 2, 2013 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Sep 2, 2013 Accepting new patients

Locations

7 Eagle Ridge Dr
Lake Wales, FL 33859
Phone (863) 676-0911

3654 Harden Blvd
Lakeland, FL 33803
Phone (813) 644-7242

4121 US Highway 98 N
Ste A140
Lakeland, FL 33809

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1487088761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 PALOMINO DR APT 522",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242349",
            "telephone_number": "727-410-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 PALOMINO DR APT 522",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242349",
            "telephone_number": "727-410-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEK",
        "first_name": "GINGER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.