Individual provider Active NPI

Anthony M Cordano, O.D.

  • Optometrist
  • Spring Hill, FL
National Provider Identifier
1538196068
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002990 Issued in FL
Practice address
4371 Commercial Way
Spring Hill, FL 34606-1917
Phone
(352) 597-2226
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC002990 FL Primary

Addresses

Primary practice location

4371 Commercial Way
Spring Hill, FL 34606-1917

Mailing address

4371 Commercial Way
Spring Hill, FL 34606-1917
Phone (352) 597-2226

Other identifiers 1

IdentifierTypeStateIssuer
620200400MedicaidFL

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
I20100901000919 FL Practitioner - Optometry 3476677154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538196068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061917",
            "telephone_number": "352-597-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 COMMERCIAL WAY",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346061917",
            "telephone_number": "352-597-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDANO",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620200400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.