Scott Hussey OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2003014776 Issued in MO

Legal business name

SCOTT HUSSEY OD LLC

Practice address

532 Old Smizer Mill Rd
Fenton, MO 63026-3538

Phone

(636) 305-7110

NPI assigned

May 28, 2015

Last updated

Jan 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott T Hussey, O.D.NPI 1962432237

Title

Owner

Phone

(636) 305-7110

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 3

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.

• Scott T Hussey, O.D.

  • Optometrist
  • Fenton, MO
  • NPI 1962432237
  Medicare reassignment Care Compare group NPD Authorized official
• Aimee Jacobs, O.D.

  • Optometrist
  • Saint Peters, MO
  • NPI 1871969949
  Medicare reassignment Care Compare group NPD
• Daniel Gerard Puetz, O.D.

  • Optometrist
  • Fenton, MO
  • NPI 1134214216
  NPD (past)

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1245619873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 OLD SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263553",
            "telephone_number": "636-305-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 OLD SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263538",
            "telephone_number": "636-305-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT HUSSEY OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "HUSSEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-305-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2003014776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron David Schenone, D.O.
• Timothy Wayne Schloss, M.D.
• Olivia Schmitt, DPT
• Erin Schnurbusch, MSW, LCSW
• Ellie Schulz, DPT
• Sean P. Cooney, DMD, LLC
• Enes Secic
• Silvija Neziri Secic
• Solomon Seifu, M.D.
• Laura Marie Self, PT

• Optometrist in Fenton, MO
• Providers in Fenton, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.