Organization Active NPI

Scolinos Optometry Inc.

  • Optometrist
  • Inglewood, CA
National Provider Identifier
1811081714
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR1065 Issued in CA
Legal business name
SCOLINOS OPTOMETRY INC.
Practice address
236 N. Market Street
Inglewood, CA 90301-1217
Phone
(310) 671-2020
Fax
(310) 671-2784
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Frank Scolinos, O.D.NPI 1700832433
Title
President
Phone
(310) 671-2020

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 COR1065 CA Primary

Addresses

Primary practice location

236 N. Market Street
Inglewood, CA 90301-1217

Mailing address

236 N. Market Street
Inglewood, CA 90301-1217
Phone (310) 671-2020

Other identifiers 1

IdentifierTypeStateIssuer
GSD001680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070119000421 CA Part B Supplier - Clinic/Group Practice 7315948239 Receives reassigned benefits from 6 practitioners
Practice locations: Inglewood, CA
O20100930035212 CA DME Supplier - Physician - OptometristDME Supplier - Optician 7315948239 Practice locations: Inglewood, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Inglewood Optometric Center236 N Market St, Inglewood, CA 90301-1217(310) 671-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Feb 2, 2002

National Provider Directory

National Provider Directory

Locations

236 N Market St
Inglewood, CA 90301
Phone (310) 671-2020

Practitioners & affiliated clinicians

Practitioners 8

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1811081714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 N. MARKET STREET",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011217",
            "telephone_number": "310-671-2020",
            "fax_number": "310-671-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N. MARKET STREET",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011217",
            "telephone_number": "310-671-2020",
            "fax_number": "310-671-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOLINOS OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "SCOLINOS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-671-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR1065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.