Active NPI
Donald Mac Scothorn, O.D.
- Optometrist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0601001669
- Practice address
- 70 Summerfield CT
Roanoke, VA 24019-4579 - Phone
- (540) 966-6616
- NPI assigned
- Jun 2, 2005
- Last updated
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0601001669 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vistar Eye Center, Inc | Optometrist | Current | Accepting new patients |
| Vistar Eye Center, Inc | Optometrist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.