NPIMap

Organization Active NPI

Steven J Zorn OD PA

  • Optometrist
  • Ocoee, FL
National Provider Identifier
1790933505
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STEVEN J ZORN OD PA
Practice address
8889 W Colonial Dr
Ocoee, FL 34761-6951
Phone
(407) 298-4631
Fax
(407) 298-3311
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Steven J Zorn, OD PANPI 1053303263
Title
Optometrist
Phone
(407) 298-4631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X FL Primary

Addresses

Primary practice location

8889 W Colonial Dr
Ocoee, FL 34761-6951

Mailing address

8889 W Colonial Dr
Ocoee, FL 34761-6951
Phone (407) 298-4631

Other identifiers 1

IdentifierTypeStateIssuer
078866000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081120000690 FL Part B Supplier - Clinic/Group Practice 7315007325 Receives reassigned benefits from 1 practitioner
Practice locations: Ocoee, FL

National Provider Directory

National Provider Directory

Locations

8889 W Colonial Dr
Ocoee, FL 34761
Phone (407) 298-4631

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1790933505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8889 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616951",
            "telephone_number": "407-298-4631",
            "fax_number": "407-298-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8889 W COLONIAL DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347616951",
            "telephone_number": "407-298-4631",
            "fax_number": "407-298-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J ZORN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "ZORN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "407-298-4631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078866000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.