Active NPI
Samantha Slotnick, Inc
- Vision Therapy Optometrist
- Scarsdale, NY
National Provider Identifier
1841676293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- TUV006820
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samantha Slotnick, OD, FAAO, FCOVD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006820 | NY | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | TUV006820 | NY | |
| Pediatric Optometrist | 152WP0200X | TUV006820 | NY | |
| Vision Therapy Optometrist | 152WV0400X | TUV006820 | NY | Primary |
| Occupational Vision Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A300083922 | Other | NY | MEDICARE PTAN-PROVIDER TRANSACTION ACCESS NUMBER |
Other names 1
- Samantha Slotnick, OD, FAAO, FCOVD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Vision Therapy Optometrist
- Scarsdale, NY
- NPI 1902017965
-
- Chiropractor
- Scarsdale, NY
- NPI 1023197860
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.