Beverly Therese Scott, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3804 Issued in MA

Practice address

605 Lincoln St
Worcester Veterans Administration Outpatient Clinic
Worcester, MA 01605

Phone

(508) 856-0104

NPI assigned

Oct 3, 2006

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

• Miss Beverly Therese Fitzpatrick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073607917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PARK ST",
            "city": "PEPPERELL",
            "state": "MA",
            "postal_code": "014631106",
            "telephone_number": "978-433-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 LINCOLN ST",
            "address_2": "WORCESTER VETERANS ADMINISTRATION OUTPATIENT CLINIC",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-856-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BEVERLY",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "FITZPATRICK",
            "middle_name": "THERESE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William J Schwartz, M.D.
• Zelda J Schwartz, LICSW
• Haley Scola
• Alysha Scott
• Amanda Scott, LMFT
• Bryce Scott
• Jesse Scott
• Kerri Scott, CRNA
• Mark Francis Scott, OD
• Michaela Scott, SLP

• Optometrist in Worcester, MA
• Providers in Worcester, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.