Joseph Scott Palombi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4671 Issued in OH

Practice address

4881 Sugar Maple Dr # 88MDG
Wright Pat, OH 45433-5529

Phone

(937) 656-0970

NPI assigned

Sep 22, 2006

Last updated

Apr 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. J. Scott Palombi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524355200000",
    "number": "1912007774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-656-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR # 88MDG",
            "city": "WRIGHT PAT",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-656-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMBI",
        "first_name": "JOSEPH",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4671",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "T1446",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J. SCOTT",
            "last_name": "PALOMBI",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Tassawwar Ahmad Khan, DO
• Peter Seongmin Kim, DO
• Jessica Macgillivray, RN
• Julie L Menegay, PHARMD
• Kenneth Lexington Murry, IDMT
• Ryan Patrick Peirson, M.D.
• Kyle David Ray, PA-C
• Josephine Marie Roopnarine, DNP
• Ajay Saraf, MD
• Elias Ahmad Sherzad, DO

• Optometrist in Wright Pat, OH
• Providers in Wright Pat, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2018; 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.