Sco Eye Surgery LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SCO EYE SURGERY LLC

Practice address

1832 Garden St
Titusville, FL 32796-3200

Phone

(321) 267-0008

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Pefkaros

Title

Medical Director

Phone

(321) 267-0008

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1669218285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1832 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963200",
            "telephone_number": "321-267-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327963200",
            "telephone_number": "321-267-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCO EYE SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "PEFKAROS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "321-267-0008"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Schoenleber, OTR
• Shannon Schroht
• Elliot Howard Schuman, MD
• Mary Eugene Schwering, FNP-C
• Michael John Sciaino, PTA
• Deborah L Scott, LCSW
• Heather Glover Scott, APRN
• Scripts 'R' US Pharmacy LLC
• Isabella Seenath
• Katrina Lee Senn

• Ambulatory Surgical Clinic/Center in Titusville, FL
• Providers in Titusville, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.