Individual provider Active NPI

Mark J. Sarno, O.D.

  • Optometrist
  • Seminole, FL
National Provider Identifier
1861491144
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1514 Issued in FL
Practice address
10785 102ND Ave
Seminole, FL 33778-4211
Phone
(727) 209-3937
Fax
(727) 394-7393
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1514 FL Primary

Addresses

Primary practice location

10785 102ND Ave
Seminole, FL 33778-4211

Mailing address

8250 Bryan Dairy Rd Ste 120
Largo, FL 33777-1357
Phone (727) 489-0500

Other identifiers 2

IdentifierTypeStateIssuer
084987100MedicaidFL
084987101MedicaidFL

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
I20040628000584 FL Practitioner - Optometry 8426955626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Florida, LLCGroup PAC ID 0143541037, 141 clinicians

Practice addresses (Care Compare)

10785 102ND Ave
Seminole, FL 33778-4211
Phone (727) 209-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514FLMDDentist
OPC1514FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 14, 2018 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 14, 2018 Accepting new patients
Optometric Associates of Florida, P.a. Optometrist Past Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients

Locations

2643 Gulf To Bay Blvd
Ste 1520
Clearwater, FL 33759
Phone (727) 799-3937

36021 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 772-1000

10785 102nd Ave
Seminole, FL 33778
Phone (727) 209-3937

8501 4th St N
St Petersburg, FL 33702
Phone (727) 528-2015

1450 66th St N
St Petersburg, FL 33710
Phone (727) 381-3937

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

3040 W Bearss Ave
Tampa, FL 33618
Phone (813) 264-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1861491144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 BRYAN DAIRY RD STE 120",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771357",
            "telephone_number": "727-489-0500",
            "fax_number": "727-489-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10785 102ND AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337784211",
            "telephone_number": "727-209-3937",
            "fax_number": "727-394-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARNO",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084987100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084987101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.