Active NPI
N Scott Gorman
- Optometrist
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1086
- Practice address
- 1825 NE 164TH St
North Miami Beach, FL 33162-4100 - Phone
- (305) 945-7113
- NPI assigned
- Nov 20, 2006
- Last updated
- Oct 30, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC1086 | FL | Primary |
Addresses
Primary practice location
1825 NE 164TH St
North Miami Beach, FL 33162-4100
Mailing address
3150 NE 190TH St Apt 104
Aventura, FL 33180-3175
Phone (954) 806-8446
Other practice location 1
1711 NE 163rd St
North Miami Beach, FL 33162-4732
Phone (305) 945-7301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084468300 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC1086 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Eye Institute, PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr. Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets, PA | Optometrist | Past | Accepting new patients |
Locations
3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600
2140 Crawfordville Hwy
Crawfordville, FL 32327
Phone (850) 926-9213
2305 Oleander Blvd
Fort Pierce, FL 34982
Phone (772) 465-6616
9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
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- Ophthalmology Physician
- Pinellas Park, FL
- NPI 1073625331
Optometrist
-
- Optometrist
- Clearwater, FL
- NPI 1730054594
-
- Optometrist
- Sebring, FL
- NPI 1982162194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572393600000",
"number": "1578637310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 NE 190TH ST APT 104",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331803175",
"telephone_number": "954-806-8446",
"fax_number": "866-382-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1825 NE 164TH ST",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331624100",
"telephone_number": "305-945-7113"
}
],
"practiceLocations": [
{
"address_1": "1711 NE 163rd St",
"address_purpose": "LOCATION",
"city": "North Miami Beach",
"state": "FL",
"postal_code": "331624732",
"country_code": "US",
"telephone_number": "305-945-7301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORMAN",
"first_name": "N",
"middle_name": "SCOTT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2019-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084468300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.