NPIMap

Organization Active NPI

Leonard Schlofman OD. PA.

  • Optometrist
  • Starke, FL
National Provider Identifier
1861730392
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 1499 Issued in FL
Legal business name
LEONARD SCHLOFMAN OD. PA.
Practice address
1105 S. Walnut
Starke, FL 32091-4413
Phone
(904) 964-8076
Fax
(904) 964-8107
NPI assigned
Jan 17, 2013
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Arthur Leonard Schlofman, ODNPI 1013997055
Title
Owner/Pres
Phone
(904) 964-8076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 1499 FL Primary

Addresses

Primary practice location

1105 S. Walnut
Starke, FL 32091-4413

Mailing address

PO Box 190
1105 S. Walnut
Starke, FL 32091-4413
Phone (904) 964-8076

Other identifiers 1

IdentifierTypeStateIssuer
078000600MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1861730392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "address_2": "1105 S. WALNUT",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914413",
            "telephone_number": "904-964-8076",
            "fax_number": "904-964-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S. WALNUT",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914413",
            "telephone_number": "904-964-8076",
            "fax_number": "904-964-8107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD SCHLOFMAN OD. PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOFMAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "904-964-8076",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078000600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.