Organization Active NPI

James a Podschun OD PA

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1942518097
Registry record updated Feb 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2303 Issued in FL
Legal business name
JAMES A PODSCHUN OD PA
Practice address
1935 State Road 436 Ste 1001
Winter Park, FL 32792-2244
Phone
(407) 671-0960
Fax
(407) 677-6696
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2019

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

Authorized official

Name
Dr. James Podschun, O.D.NPI 1003804121
Title
President
Phone
(407) 671-0960

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2303 FL Primary

Addresses

Primary practice location

1935 State Road 436 Ste 1001
Winter Park, FL 32792-2244

Mailing address

1935 State Road 436 Ste 1001
Winter Park, FL 32792-2244
Phone (407) 671-0960

Other practice location 1

2828 Casa Aloma Way
Suite 400
Winter Park, FL 32792-2223
Phone (407) 671-0960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110331000812 FL Part B Supplier - Clinic/Group Practice 4789870148 Receives reassigned benefits from 2 practitioners
Practice locations: Winter Park, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2069244James a Podschun OD PA1935 State Road 436, Winter Park, FL 32792Certificate of waiverNov 19, 2027

National Provider Directory

National Provider Directory

Locations

1935 State Road 436
Ste 1001
Winter Park, FL 32792
Phone (407) 671-0960

Practitioners & affiliated clinicians

Practitioners 3

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": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549324800000",
    "number": "1942518097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436 STE 1001",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 STATE ROAD 436 STE 1001",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922244",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 Casa Aloma Way",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922223",
            "country_code": "US",
            "telephone_number": "407-671-0960",
            "fax_number": "407-677-6696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES A PODSCHUN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2019-02-05",
        "status": "A",
        "authorized_official_last_name": "PODSCHUN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-671-0960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.