Tracey Love Scasta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5274TG Issued in TX

Practice address

1550 Copperfield Pkwy
Ste 1
College Station, TX 77845-4674

Phone

(979) 695-2020

Fax

(979) 764-1654

NPI assigned

Sep 21, 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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1093813974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 COPPERFIELD PKWY",
            "address_2": "STE 1",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454674",
            "telephone_number": "979-695-2020",
            "fax_number": "979-764-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 COPPERFIELD PKWY",
            "address_2": "STE 1",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454674",
            "telephone_number": "979-695-2020",
            "fax_number": "979-764-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCASTA",
        "first_name": "TRACEY",
        "middle_name": "LOVE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5274TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "611677",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Satterfield, PH.D.
• Sloane Savoini
• SBH Texas Physician Services Inc
• Hunter Scammon
• Joe Craig Scasta, D.D.S.
• Maura Eileen Schaefer, CRNA
• Kim C. Schams, R.N.
• Scott T Schams, MD
• Randy A Schemidt, MD
• Christopher Schlottmann, DO

• Optometrist in College Station, TX
• Providers in College Station, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.

Verify at the official NPI Registry.