Scott Eye Care P L L C

Primary specialty

OptometristTaxonomy code 152W00000X

License

2374 Issued in OK

Legal business name

SCOTT EYE CARE P L L C

Doing business as

Northwest Eye Associates

Practice address

400 S Main St
Shattuck, OK 73858

Phone

(580) 938-5210

Fax

(580) 938-2166

NPI assigned

Nov 7, 2006

Last updated

Jun 26, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTHWEST EYE ASSOCIATES PCAs reported in NPPES

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

Authorized official

Name

Dr. David C Jones, O.D.

Title

Sole Member

Phone

(580) 938-5210

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Northwest Eye Associates Doing business as

Part of

Northwest Eye Associates PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Northwest Eye Associates PC

  • Optometrist
  • Woodward, OK
  • NPI 1851479737
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amie Rebekah Straub, O.D.

  • Optometrist
  • Altus, OK
  • NPI 1457438335
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1245309095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 770",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "738580770",
            "telephone_number": "580-938-5210",
            "fax_number": "580-938-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST",
            "city": "SHATTUCK",
            "state": "OK",
            "postal_code": "73858",
            "telephone_number": "580-938-5210",
            "fax_number": "580-938-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT EYE CARE P L L C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWEST EYE ASSOCIATES PC",
        "enumeration_date": "2006-11-07",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "580-938-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200078760A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410049616",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Newman Physicians' Group, Inc.
• Lisa Marie Oakley
• Jerson Penaflor
• Shattuck Dentistry & Braces
• Shattuck Nursing Center Inc
• Shattuck Pharmacy Management Inc (Medic Pharmacy & Gifts)
• Shattuck Public Schools
• Stuart Family Medicine, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.