Scott Michael Carlson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2211 Issued in OK

Practice address

5335 W Rogers Blvd
Ste B
Skiatook, OK 74070-5285

Phone

(198) 396-4440

Fax

(918) 396-4449

NPI assigned

Aug 17, 2006

Last updated

Mar 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Scott M. Carlson OD PC

  dba Advantage Eyecare

  • Optometrist
  • Enid, OK
  • NPI 1801924519
  Medicare reassignment
• Advantage Eyecare, P.C.

  • Optometrist
  • Skiatook, OK
  • NPI 1720116932
  Authorized official Same address or phone
• Brett Enyart, OD, PLLC

  • Optometrist
  • Skiatook, OK
  • NPI 1932458528
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1235243544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S CLEVELAND ST",
            "address_2": "STE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737035523",
            "telephone_number": "580-233-8200",
            "fax_number": "580-233-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5335 W ROGERS BLVD",
            "address_2": "STE B",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740705285",
            "telephone_number": "198-396-4440",
            "fax_number": "918-396-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2211",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OK",
            "license": "2211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100767350B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Bersche, MS SLP CCC
• Kasey Booth
• Brett Enyart, OD, PLLC
• Melissa Byrd Briggs, PT
• Timothy Bushyhead
• Alicia G Carner, GPT
• Hanna Evaline Chomosh
• Ciec Investments LLC (Surg4life)
• City of Skiatook
• Coulter Louis Clark, MED, ATC, LAT

• Optometrist in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.