National Provider Identifier Database

SILOAM MEDICAL
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

SILOAM MEDICAL
15123 OGDEN LOOP
ODESSA, FL33556-4633
Phone: 860-268-6617
Fax:
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X
Cornea and External Diseases Specialist 207WX0120X
Glaucoma Specialist 207WX0009X
Ophthalmic Plastic and Reconstructive Surgery 207WX0200X

* Indicates primary specialty

NPI Profile & details for SILOAM MEDICAL

NPI Number 1154996072
Legal business name
LBN
SILOAM MEDICAL
Authorized official NICHOLAS BOTTARO - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/24/2021
Last updated 01/30/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • FL Medicaid: 108311400

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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