Individual provider Active NPI

Nevin M Sarno, O.D.

  • Optometrist
  • Seminole, FL
National Provider Identifier
1922045384
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002894 Issued in FL
Practice address
10785 102ND Ave
Seminole, FL 33778-4211
Phone
(727) 209-3937
Fax
(727) 394-7393
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC002894 FL Primary

Addresses

Primary practice location

10785 102ND Ave
Seminole, FL 33778-4211

Mailing address

11650 131St St
Largo, FL 33774-4740
Phone (727) 489-0500

Other identifiers 1

IdentifierTypeStateIssuer
620254300MedicaidFL

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
I20080718000202 FL Practitioner - Optometry 0345313771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC002894FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new 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
Myeyedr Optometry of Florida, LLC Optometrist Past Accepting new patients
Kurt Theodore OD PA Optometrist Past Accepting new patients
Optometric Associates of Florida, P.a. 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

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515628800000",
    "number": "1922045384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 131ST ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744740",
            "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": "NEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2018-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620254300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

Verify at the official NPI Registry.