Scott Mikio Oda, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60381388 Issued in WA

Practice address

13399 Newcastle Commons Dr
Newcastle, WA 98059-3290

Phone

(408) 768-8752

NPI assigned

Jul 6, 2013

Last updated

Jun 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sao Vision P.L.L.C.Group PAC ID 6608296082, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sao Vision P L L C

  dba Newcastle Vision Clinic

  • Optometrist
  • Newcastle, WA
  • NPI 1033734835
  Medicare reassignment Care Compare group NPD
• Michael H Chow & Associates PLLC

  dba Lakeland Vision Clinic

  • Optometrist
  • Auburn, WA
  • NPI 1386215440
  Medicare reassignment NPD

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

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1275974214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13399 NEWCASTLE COMMONS DR",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593290",
            "telephone_number": "408-768-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13399 NEWCASTLE COMMONS DR",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980593290",
            "telephone_number": "408-768-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODA",
        "first_name": "SCOTT",
        "middle_name": "MIKIO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-06",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60381388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Moy
• Isabella Wanjiku Mumpa
• Neurobehavior Link LLC
• Newcastle Dental Specialists LLC
• Jordan O'Neal
• Gloria Odom
• Jack Ogilvie, DPT
• Kimberly Pandiangan, OD
• Payal Patel
• Patrick Wang DDS MD PLLC

• Optometrist in Newcastle, WA
• Providers in Newcastle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.