Individual provider Active NPI

Donald Mac Scothorn, O.D.

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1013911387
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601001669 Issued in VA
Practice address
70 Summerfield CT
Roanoke, VA 24019-4579
Phone
(540) 966-6616
NPI assigned
Jun 2, 2005
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601001669 VA Primary

Addresses

Primary practice location

70 Summerfield CT
Roanoke, VA 24019-4579

Mailing address

PO Box 1789
Roanoke, VA 24008-1789
Phone (540) 344-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100506000766 VA Practitioner - Optometry 7911035217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vistar Eye Center, IncGroup PAC ID 0446249858, 29 clinicians

Practice addresses (Care Compare)

70 Summerfield CT
Roanoke, VA 24019-4579
Phone (540) 855-5100

Merit-based Incentive Payment System (MIPS)

Final score
75.18 of 100Reported as group
Quality
81.53
Promoting interoperability
88
Improvement activities
40
Cost
45.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0601001669VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vistar Eye Center, Inc Optometrist CurrentSince Sep 1, 1999 Accepting new patients
Vistar Eye Center, Inc Optometrist CurrentSince Sep 1, 1999 Accepting new patients

Locations

280 Westlake Rd
Bldg 2
Hardy, VA 24101
Phone (540) 346-2102

1819 Electric Rd
Ste 1A
Roanoke, VA 24018

2154 McVitty Rd SW
Ste 100
Roanoke, VA 24018

3320 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 342-0801

70 Summerfield Ct
Roanoke, VA 24019
Phone (540) 855-5139

707 S Jefferson St
Roanoke, VA 24016
Phone (540) 344-4000

426 W Main St
Salem, VA 24153
Phone (540) 344-4000

Interoperability endpoints

  • Direct secure messaging: donald.scothorn@direct.vistareyecenter.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1013911387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240081789",
            "telephone_number": "540-344-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SUMMERFIELD CT",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240194579",
            "telephone_number": "540-966-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTHORN",
        "first_name": "DONALD",
        "middle_name": "MAC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.