Jennifer L Scarlato, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5737 Issued in OH

Practice address

832 Great Northern Mall
North Olmsted, OH 44070-3300

Phone

(440) 777-9904

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer L Plug Former name

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Dr. George D. Poulos and Associates, Inc.Group PAC ID 1850395179, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. George D. Poulos & Associates, Inc.

  • Optometrist
  • Strongsville, OH
  • NPI 1801842117
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1982897500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703300",
            "telephone_number": "440-777-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 GREAT NORTHERN MALL",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703300",
            "telephone_number": "440-777-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLATO",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PLUG",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Elizabeth Salim, LISW-S, LICDC-CS
• Roberta M Samalot
• Shauna Sartoski, R.N.
• Debra Ann Savage, REGISTERED NURSE
• Lauren Savarino
• Mary Schirg, LMT
• Sierra Schrader
• Sara A. Schrecengost, PCC-S
• Breanna Marie Schwarzer
• Jane F Semple

• Optometrist in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.