Scott Leonard Sedlacek, OD
Individual provider Active NPI Optometrist · Olmsted Falls, OH
NPI 1497855084 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1497855084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4990 (OH)
- Practice address
- 8099 Columbia Rd
Olmsted Falls, OH 44138-2021 - Phone
- (440) 235-8099
- Fax
- (440) 235-0222
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4990 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye Place, Inc. | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4990 | OH | Yes |
Addresses
Primary practice location
8099 Columbia Rd
Olmsted Falls, OH 44138-2021
Mailing address
8099 Columbia Rd
Olmsted Falls, OH 44138-2021
Phone (440) 235-8099
Other practice location 1
17100 Royalton Rd
Strongsville, OH 44136-4441
Phone (440) 238-9020
Other providers in Olmsted Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.