NPIMap

Organization Active NPI

Scott W. Nebel, OD, PLLC

  • Optometrist
  • Mooresville, NC
National Provider Identifier
1275877664
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2185 Issued in NC
Legal business name
SCOTT W. NEBEL, OD, PLLC
Practice address
169 Norman Station Blvd
Mooresville, NC 28117-6396
Phone
(704) 664-5238
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Scott William Nebel, ODNPI 1669602207
Title
Member/Organizer
Phone
(724) 494-5480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2185 NC Primary

Addresses

Primary practice location

169 Norman Station Blvd
Mooresville, NC 28117-6396

Mailing address

1401 Coopershill Dr
Unit 109
Raleigh, NC 27604-4524
Phone (724) 494-5480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1275877664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 COOPERSHILL DR",
            "address_2": "UNIT 109",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044524",
            "telephone_number": "724-494-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 NORMAN STATION BLVD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176396",
            "telephone_number": "704-664-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W. NEBEL, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "NEBEL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "724-494-5480",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.