Individual provider Active NPI

Scot Anthony Class, O.D.

  • Optometrist
  • San Luis Obispo, CA
National Provider Identifier
1285862227
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT3365TLG Issued in CA
Practice address
3855 Broad Street
Ste B
San Luis Obispo, CA 93401-7109
Phone
(805) 545-8100
Fax
(805) 548-8785
NPI assigned
Jun 29, 2009
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT3365TLG CA Primary

Addresses

Primary practice location

3855 Broad Street
Ste B
San Luis Obispo, CA 93401-7109

Mailing address

3855 Broad Street
Ste B
San Luis Obispo, CA 93401-7109
Phone (805) 545-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160726002079 CA Practitioner - Optometry 9436201639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

931 Oak Park Blvd
Suite 201
Pismo Beach, CA 93449-3404
Phone (805) 473-6640

Merit-based Incentive Payment System (MIPS)

Final score
94.53 of 100Reported as group
Quality
99.63
Improvement activities
40
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT3365TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Surgeons, a California Professional Medical Corporation Optometrist CurrentSince Aug 1, 2016 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation CurrentSince Aug 1, 2016 Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation PastSince Nov 8, 2020 Accepting new patients

Locations

1111 E Ocean Ave
Ste 7
Lompoc, CA 93436
Phone (805) 545-8100

1140 E Clark Ave
Ste 160B
Orcutt, CA 93455
Phone (800) 898-8509

220 Oak Hill Rd
Paso Robles, CA 93446
Phone (805) 227-1477

931 Oak Park Blvd
Ste 201
Pismo Beach, CA 93449
Phone (805) 473-6640

3855 Broad St
#B
San Luis Obispo, CA 93401
Phone (805) 545-7881

230 E Betteravia Rd
Santa Maria, CA 93454

230 E Betteravia Rd
Ste S
Santa Maria, CA 93454
Phone (800) 898-8509

816 E Enos Dr
Ste A
Santa Maria, CA 93454
Phone (805) 346-1717

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1285862227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 BROAD STREET",
            "address_2": "STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017109",
            "telephone_number": "805-545-8100",
            "fax_number": "805-548-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 BROAD STREET",
            "address_2": "STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017109",
            "telephone_number": "805-545-8100",
            "fax_number": "805-548-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLASS",
        "first_name": "SCOT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT3365TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.