Individual provider Active NPI

David F. Scamard, O.D.

  • Optometrist
  • Lutz, FL
National Provider Identifier
1790900694
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3394 Issued in FL
Practice address
2225 Grand Cypress Dr
Lutz, FL 33559
Phone
(813) 279-7038
Fax
(813) 279-7039
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3394 FL Primary

Addresses

Primary practice location

2225 Grand Cypress Dr
Lutz, FL 33559

Mailing address

2225 Grand Cypress Dr
Lutz, FL 33559-6797
Phone (813) 279-7038

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
I20071110000036 FL Practitioner - Optometry 9032207964 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3394FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets, PA Optometrist CurrentSince May 1, 2015 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Professional Eyecare Consultants PA Optometrist PastSince Aug 25, 2013 Accepting new patients

Locations

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

6431 E County Line Rd
Ste 113
Tampa, FL 33647
Phone (813) 315-3085

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1790900694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 GRAND CYPRESS DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596797",
            "telephone_number": "813-279-7038",
            "fax_number": "813-279-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 GRAND CYPRESS DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "33559",
            "telephone_number": "813-279-7038",
            "fax_number": "813-279-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAMARD",
        "first_name": "DAVID",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "3394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.