Scott Ream Optometry PC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Thayer, MO
NPI 1154597391 · NPPES record last updated Oct 4, 2011
Key facts
- NPI
- 1154597391
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- T02734 (MO)
- Legal business name
- SCOTT REAM OPTOMETRY PC
- Practice address
- 207 Chestnut St
Thayer, MO 65791-1203 - Phone
- (417) 264-7418
- Fax
- (417) 264-2838
- NPI assigned
- May 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Scott R. Ream, O.D.
- Title
- Owner
- Phone
- (417) 264-7418
Practitioners 1
-
Scott R. Ream, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111101000027 | MO | Part B Supplier - Clinic/Group Practice | 3173712643 |
Receives reassigned benefits from 1 practitioner Practice locations: Thayer, MO |
National Provider Directory
Locations
207 Chestnut St
Thayer, MO 65791
Phone (417) 264-7418
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | T02734 | MO | Yes |
Addresses
Primary practice location
207 Chestnut St
Thayer, MO 65791-1203
Mailing address
PO Box 157
Thayer, MO 65791-0157
Phone (417) 264-7418
Other providers in Thayer, MO
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- Rural Alliance for Better Family Health
- Rural Alliance for Better Family Health
- Olivia Russell
- Safe Haven Therapy LLC
- Spring River Home Health Agency Inc
- Shena Lee Stevenson
- Morgan Stone
- Thayer Drug Store LLC
- Thayer No 1 Inc
All providers in Thayer, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.