Organization Active NPI

Samantha Slotnick, Inc

  • Vision Therapy Optometrist
  • Scarsdale, NY
National Provider Identifier
1841676293
Registry record updated Aug 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
TUV006820 Issued in NY
Legal business name
SAMANTHA SLOTNICK, INC
Practice address
495 Central Park Ave Ste 301
Scarsdale, NY 10583-1038
Phone
(914) 874-1177
Fax
(914) 885-1463
NPI assigned
Aug 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2015

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

Authorized official

Name
Dr. Samantha Slotnick, OD, FAAO, FCOVDNPI 1902017965
Title
Optometrist, Owner
Phone
(914) 874-1118

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X TUV006820 NY
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X TUV006820 NY
Pediatric OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WP0200X TUV006820 NY
Vision Therapy OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WV0400X TUV006820 NY Primary
Occupational Vision OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WX0102X TUV006820 NY

Addresses

Primary practice location

495 Central Park Ave Ste 301
Scarsdale, NY 10583-1038

Mailing address

495 Central Park Ave Ste 301
Scarsdale, NY 10583-1038
Phone (914) 874-1177

Other identifiers 1

IdentifierTypeStateIssuer
A300083922OtherNYMEDICARE PTAN-PROVIDER TRANSACTION ACCESS NUMBER

Other names 1

  • Samantha Slotnick, OD, FAAO, FCOVD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902001528 NY Part B Supplier - Clinic/Group Practice 6709192966 Receives reassigned benefits from 1 practitioner
Practice locations: Scarsdale, NY

National Provider Directory

National Provider Directory

Locations

495 Central Park Ave
Ste 301
Scarsdale, NY 10583
Phone (914) 472-7211

Practitioners & affiliated clinicians

Practitioners 2

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": "1439078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439078400000",
    "number": "1841676293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE STE 301",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831038",
            "telephone_number": "914-874-1177",
            "fax_number": "914-885-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE STE 301",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831038",
            "telephone_number": "914-874-1177",
            "fax_number": "914-885-1463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA SLOTNICK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-09",
        "last_updated": "2015-08-09",
        "status": "A",
        "authorized_official_last_name": "SLOTNICK",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OPTOMETRIST, OWNER",
        "authorized_official_telephone_number": "914-874-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, FAAO, FCOVD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006820",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NY",
            "license": "TUV006820",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV006820",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV006820",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "NY",
            "license": "TUV006820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "A300083922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samantha Slotnick, OD, FAAO, FCOVD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; 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.