Active NPI
Robert B Scott Ocularists of Florida
- Prosthetic/Orthotic Supplier
- Tampa, FL
National Provider Identifier
1154423416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- ROBERT B SCOTT OCULARISTS OF FLORIDA
- Practice address
- 3500 E Fletcher Ave
Suite 509
Tampa, FL 33613-4793 - Phone
- (813) 977-7676
- Fax
- (813) 977-1999
- NPI assigned
- Sep 5, 2006
- Reactivated
- Jul 20, 2009
- Last updated
- Jul 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bonny J Scott
- Title
- Office Manager/Treasurer
- Phone
- (312) 782-3558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave
Suite 509
Tampa, FL 33613-4793
Mailing address
111 N Wabash Ave
Suite 1516
Chicago, IL 60602-3066
Phone (312) 782-3558
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 231983 | Other | AMERIGROUP | |
| N3179 | Other | WELLCARE | |
| N3179 | Other | HEALTHEASE | |
| 4017986 | Other | TN | BCBS TN |
| 027891200 | Medicaid | FL | |
| 214220 | Other | AVMED | |
| N3179 | Other | STAYWELL | |
| 2436832 | Other | AETNA | |
| M0331 | Other | BSBS | |
| 10633501 | Other | CITRUS |
National Provider Directory
National Provider DirectoryLocations
111 N Wabash Ave
Ste 1516
Chicago, IL 60602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248048000000",
"number": "1154423416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE",
"address_2": "SUITE 1516",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023066",
"telephone_number": "312-782-3558",
"fax_number": "312-372-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE",
"address_2": "SUITE 509",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134793",
"telephone_number": "813-977-7676",
"fax_number": "813-977-1999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT B SCOTT OCULARISTS OF FLORIDA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-05",
"last_updated": "2009-07-20",
"deactivation_date": "2009-03-06",
"reactivation_date": "2009-07-20",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "BONNY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OFFICE MANAGER/TREASURER",
"authorized_official_telephone_number": "312-782-3558"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "231983",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "N3179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "N3179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4017986",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027891200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "214220",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "N3179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2436832",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBS",
"identifier": "M0331",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS",
"identifier": "10633501",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.