Scot Anthony Class, O.D.
Individual provider Active NPI Optometrist · San Luis Obispo, CA
NPI 1285862227 · NPPES record last updated Nov 28, 2016
Key facts
- NPI
- 1285862227
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT3365TLG (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Eye Surgeons a California Professional Medical Corporation
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 100
- Quality
- 99.63
- Improvement activities
- 40
- Cost
- 82.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160726002079 | CA | Practitioner - Optometry | 9436201639 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT3365TLG | CA | MD | Optometrist |
| 1689 | AZ | MD | Occupational Therapy Assistant |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Surgeons, a California Professional Medical Corporation | Optometrist | Current |
Accepting new patients |
| Pacific Eye Surgeons, a California Professional Medical Corporation | Current |
Accepting new patients | |
| Pacific Eye Surgeons, a California Professional Medical Corporation | Past |
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
816 E Enos Dr
Ste A
Santa Maria, CA 93454
Phone (805) 346-1717
230 E Betteravia Rd
Ste S
Santa Maria, CA 93454
Phone (800) 898-8509
230 E Betteravia Rd
Santa Maria, CA 93454
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT3365TLG | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 438709 | Medicaid | AZ |
Other providers in San Luis Obispo, CA
- Rebecca Dawn Clark
- Shannon Clark
- Matthew William Clarke
- Teresa Jean Clarke
- William Anthony Clarke
- Samantha Clay
- Bianca Clayton
- Michael Dewit Clayton
- Robert Edwin Clayton
- Tracey Cleeland
All providers in San Luis Obispo, CA · Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.