Active NPI
Scott T Emely, OD
- Optometrist
- Suwanee, GA
National Provider Identifier
1174716146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2336
- Practice address
- 4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6047 - Phone
- (770) 232-7844
- Fax
- (770) 232-9455
- NPI assigned
- Aug 23, 2007
- Last updated
- Mar 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2336 | GA | Primary |
Addresses
Primary practice location
4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6047
Mailing address
4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6047
Phone (770) 232-7844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511I410012 | Other | GA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6121
Phone (770) 232-7844
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2336 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneopto Ga 1 PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1174716146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 JOHNS CREEK PKWY",
"address_2": "SUITE 300",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246047",
"telephone_number": "770-232-7844",
"fax_number": "770-232-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 JOHNS CREEK PKWY",
"address_2": "SUITE 300",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246047",
"telephone_number": "770-232-7844",
"fax_number": "770-232-9455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMELY",
"first_name": "SCOTT",
"middle_name": "T",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-23",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2336",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "511I410012",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.