Individual provider Active NPI

Scott Alan Gartner, OD

  • Optometrist
  • West Palm Beach, FL
National Provider Identifier
1144334103
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1411 Issued in FL
Practice address
1710 Tiffany Dr E
West Palm Beach, FL 33407-3242
Phone
(561) 586-5600
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP1411 FL Primary

Addresses

Primary practice location

1710 Tiffany Dr E
West Palm Beach, FL 33407-3242

Mailing address

5944 Coral Ridge Dr
#210
Coral Springs, FL 33076-3300
Phone (954) 557-5913

Other identifiers 1

IdentifierTypeStateIssuer
620469400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041013000523 FL Practitioner - Optometry 3375517089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11076 NW 79TH PL
Parkland, FL 33076-4718

5944 Coral Ridge Dr
Suite 210
Coral Springs, FL 33076-3300

601 SW 8TH Ave
Lighthouse for the Blind
Miami, FL 33130-3209
Phone (954) 557-5913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
OP1411FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a. Gartner, OD, PA CurrentSince Oct 3, 2001 Accepting new patients
Scott a. Gartner, OD, PA CurrentSince Jan 1, 1990 Accepting new patients
Lauren R Rosecan Mdpa PastSince Jul 31, 2001 Accepting new patients

Locations

5944 Coral Ridge Dr
Coral Springs, FL 33076
Phone (954) 415-8253

16201 S Military Trl
Delray Beach, FL 33484
Phone (561) 498-8100

1710 E Tiffany Dr
Mangonia Park, FL 33407
Phone (561) 586-5600

5800 Colonial Dr
Ste 300
Margate, FL 33063
Phone (561) 586-5600

601 SW 8th Ave
Miami, FL 33130
Phone (305) 856-2288

900 NW 17th St
Miami, FL 33136
Phone (305) 243-6605

2685 S Horseshoe Dr
Ste 211
Naples, FL 34104
Phone (561) 586-5600

11382 Prosperity Farms Rd
Ste 128
Palm Beach Gardens, FL 33410
Phone (561) 327-7311

1776 N Pine Island Rd
Ste 214
Plantation, FL 33322
Phone 9544529922208

618 SE Ocean Blvd
Stuart, FL 34994
Phone (561) 586-5600

618 SE Ocean Blvd
Ste 3
Stuart, FL 34994
Phone (772) 287-7026

901 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 586-5600

5601 Corporate Way
West Palm Beach, FL 33407
Phone (954) 557-5913

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1144334103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 CORAL RIDGE DR",
            "address_2": "#210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763300",
            "telephone_number": "954-557-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 TIFFANY DR E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073242",
            "telephone_number": "561-586-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTNER",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620469400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.