Corry Scott, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3658ATI Issued in OR

Practice address

220 N Adair St
Cornelius, OR 97113-8404

Phone

(503) 207-0630

NPI assigned

Aug 3, 2015

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Pacific University - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Linn Vision Center IncGroup PAC ID 7315227634, 3 clinicians

Tigard Vision Center, Inc.Group PAC ID 1355339300, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: corry.scott@direct.revolutionehr.com

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

• Tigard Vision Center, Inc.

  • Optometrist
  • Tigard, OR
  • NPI 1821083635
  Medicare reassignment Care Compare group NPD
• West Linn Vision Center Inc

  • Optometrist
  • West Linn, OR
  • NPI 1043769227
  Medicare reassignment Care Compare group NPD
• Daniel a. Robison, O.D., LLC

  dba Cascadia Eye Care

  • Optometrist
  • Lake Oswego, OR
  • NPI 1528044807
  Medicare reassignment NPD
• Murray Scholls Optique Inc

  dba Murray Scholls Vision Center

  • Optometrist
  • Beaverton, OR
  • NPI 1598751802
  Medicare reassignment NPD
• Myoptic Optometry, LLC

  • Point of Service
  • Portland, OR
  • NPI 1235325333
  Medicare reassignment NPD
• Lake Oswego Vision Clinic LLC

  dba Lake Oswego Vision Clinic

  • Optometrist
  • Lake Oswego, OR
  • NPI 1750506937
  Medicare reassignment
• Bridgeport Eye Physicians, LLC

  • Ophthalmology Physician
  • Sherwood, OR
  • NPI 1215135066

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1164808077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N ADAIR ST",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971138404",
            "telephone_number": "503-207-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N ADAIR ST",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971138404",
            "telephone_number": "503-207-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CORRY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-03",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3658ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerson Todd Rowley, D.M.D
• Deborah L Rutt, DMD
• Edward Michael Saito, PHARMD
• Janice Ann Saunders
• Lisa Scharosch, RN
• Shinoda Eye Care Professionals LLC (Cornelius Vision Clinic)
• Charles A Simpson, D.C.
• Shannon Kathleen Sims, PHARM D
• Angela Michelle Smorra, DMD
• Vanessa Sotelo Lopez, RDH

• Optometrist in Cornelius, OR
• Providers in Cornelius, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.