Active NPI
Scott Thomas Nilsson, O.D.
- Optometrist
- Virginia Beach, VA
National Provider Identifier
1215198668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001752
- Practice address
- 2000 General Booth Blvd
Virginia Beach, VA 23454-5876 - Phone
- (575) 426-2020
- NPI assigned
- Jun 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 | 0618001752 | VA | Primary |
Addresses
Primary practice location
2000 General Booth Blvd
Virginia Beach, VA 23454-5876
Mailing address
2000 General Booth Blvd
Virginia Beach, VA 23454-5876
Phone (575) 426-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427498344 | Other | VA | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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
- Pennsylvania College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1116 Volvo Pkwy
Suite 102
Chesapeake, VA 23320-2803
Phone (757) 275-9090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1215198668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 GENERAL BOOTH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545876",
"telephone_number": "575-426-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 GENERAL BOOTH BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545876",
"telephone_number": "575-426-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILSSON",
"first_name": "SCOTT",
"middle_name": "THOMAS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-18",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001752",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1427498344",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.