Individual provider Active NPI

Scott Baylard, O.D.

  • Optometrist
  • Cumming, GA
National Provider Identifier
1255472916
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2005 Issued in GA
Practice address
2320 Atlanta Hwy
Suite 103
Cumming, GA 30040-6339
Phone
(678) 965-5558
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005 GA Primary

Addresses

Primary practice location

2320 Atlanta Hwy
Suite 103
Cumming, GA 30040-6339

Mailing address

2320 Atlanta Highway
Suite 103
Cumming, GA 30040
Phone (678) 965-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20051118000502 GA Practitioner - Optometry 1355360595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Family Eyecare and Optique PCGroup PAC ID 3173542313, 2 clinicians

Practice addresses (Care Compare)

2350 Atlanta Hwy
Suite 110
Cumming, GA 30040-8027
Phone (678) 965-5558

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2005GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Family Eyecare and Optique PC Optometrist CurrentSince Nov 16, 2005 Accepting new patients

Locations

2350 Atlanta Hwy
Ste 110
Cumming, GA 30040
Phone (678) 965-5558

2320 Atlanta Hwy
Ste 103
Cumming, GA 30040
Phone (678) 965-5558

2320 Atlanta Hwy
Ste 110
Cumming, GA 30040
Phone (678) 965-5558

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1255472916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 ATLANTA HIGHWAY",
            "address_2": "SUITE 103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30040",
            "telephone_number": "678-965-5558",
            "fax_number": "678-965-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 ATLANTA HWY",
            "address_2": "SUITE 103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406339",
            "telephone_number": "678-965-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYLARD",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.