Individual provider Active NPI

Alyssa L Scott-Nutt, O.D.

  • Optometrist
  • Camden, AR
National Provider Identifier
1265446793
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0002591 Issued in TN
Practice address
515 Cash Rd SW
Camden, AR 71701-3706
Phone
(870) 836-2525
Fax
(870) 836-7252
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0002591 TN Primary

Addresses

Primary practice location

515 Cash Rd SW
Camden, AR 71701-3706

Mailing address

515 Cash Rd SW
Camden, AR 71701-3706
Phone (870) 836-2525

Other names 1

  • Alyssa L Scott Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20080326000990 AR Practitioner - Optometry 2062435712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Care Center, Inc.Group PAC ID 3678617115, 2 clinicians

Practice addresses (Care Compare)

515 Cash Rd SW
Camden, AR 71701-3706
Phone (870) 836-2525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2582ARMDDentist
0002591TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Center Inc Optometrist CurrentSince Jun 1, 2010 Accepting new patients
Family Eye Care Center, Inc. Optometrist Current Accepting new patients
Paris Eye Care, LLC Optometrist Past Accepting new patients

Locations

515 Cash Rd SW
Camden, AR 71701
Phone (870) 836-2525

Organizations & group practices 3

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265446793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 CASH RD SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013706",
            "telephone_number": "870-836-2525",
            "fax_number": "870-836-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CASH RD SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717013706",
            "telephone_number": "870-836-2525",
            "fax_number": "870-836-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT-NUTT",
        "first_name": "ALYSSA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0002591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "SCOTT",
            "middle_name": "L",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camden, AR

Sources for this page

Verify at the official NPI Registry.