Active NPI
Scott McPherson, O.D.
- Optometrist
- Lubbock, TX
National Provider Identifier
1184711665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6677T
- Practice address
- 4217 S Loop 289
Lubbock, TX 79423-1100 - Phone
- (806) 793-3309
- NPI assigned
- Oct 6, 2006
- Last updated
- Jul 8, 2007
- 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 | 6677T | TX | Primary |
Addresses
Primary practice location
4217 S Loop 289
Lubbock, TX 79423-1100
Mailing address
5402 66TH St
Apt.1122
Lubbock, TX 79424-1313
Phone (806) 283-1536
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011FF | Other | TX | BLUE CROSS BLUE SHIELD |
| 454332 | Other | TX | NATIONAL VISION |
| MC1676322 | Other | TX | CLARITY VISION |
| 19640 | Other | TX | COAST-TO-COAST VISION |
| 11455894 | Other | TX | GREAT WEST HEALTH |
| 25520 | Other | TX | SPECTERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6677T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184711665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 66TH ST",
"address_2": "APT.1122",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794241313",
"telephone_number": "806-283-1536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4217 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231100",
"telephone_number": "806-793-3309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6677T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0011FF",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL VISION",
"identifier": "454332",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLARITY VISION",
"identifier": "MC1676322",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COAST-TO-COAST VISION",
"identifier": "19640",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTH",
"identifier": "11455894",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA",
"identifier": "25520",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.