NPIMap

Organization Active NPI

Scott a Lewis Optometric

  • Optometrist
  • Murrieta, CA
National Provider Identifier
1083764757
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6729T Issued in CA
Legal business name
SCOTT A LEWIS OPTOMETRIC
Practice address
24400 Jackson Ave Ste a
Murrieta, CA 92562-1987
Phone
(951) 677-5144
Fax
(951) 698-1892
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Scott A Lewis, O.D.NPI 1376640664
Title
Owner
Phone
(951) 677-5144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 6729T CA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 6026T CA

Addresses

Primary practice location

24400 Jackson Ave Ste a
Murrieta, CA 92562-1987

Mailing address

24400 Jackson Ave Ste a
Murrieta, CA 92562-1987
Phone (951) 677-5144

Other identifiers 1

IdentifierTypeStateIssuer
GSD000591MedicaidCA

Other names 1

  • scott lewis optometric corp Doing business as

National Provider Directory

National Provider Directory

Locations

31685 US Highway 79
Ste A
Temecula, CA 92592
Phone (909) 302-5580

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1083764757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 JACKSON AVE STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621987",
            "telephone_number": "951-677-5144",
            "fax_number": "951-698-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 JACKSON AVE STE A",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925621987",
            "telephone_number": "951-677-5144",
            "fax_number": "951-698-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A LEWIS OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-677-5144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6729T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6026T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000591",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "scott lewis optometric corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.