Active NPI
Scott Robert Kurita, O.D.
- Optometrist
- Warrenton, OR
National Provider Identifier
1295055143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3362ATI
- Practice address
- 1804 SE Ensign LN
Warrenton, OR 97146-7339 - Phone
- (503) 338-4114
- Fax
- (503) 338-4115
- NPI assigned
- Jun 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3362ATI | OR | Primary |
Addresses
Primary practice location
1804 SE Ensign LN
Warrenton, OR 97146-7339
Mailing address
947 SE Miller Street
Portland, OR 97202
Phone (817) 657-0264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2480 NE Fremont St
Portland, OR 97212-2509
Phone (503) 284-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3362ATI | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PDX Eye and Vision Care LLC | Optometrist | Current | Accepting new patients |
Locations
2480 NE Fremont St
Portland, OR 97212
Phone (503) 284-3937
Interoperability endpoints
- skurita753817@oc.providencedirect.org
Organizations & group practices 1
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": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1295055143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 SE MILLER STREET",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97202",
"telephone_number": "817-657-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1804 SE ENSIGN LN",
"city": "WARRENTON",
"state": "OR",
"postal_code": "971467339",
"telephone_number": "503-338-4114",
"fax_number": "503-338-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURITA",
"first_name": "SCOTT",
"middle_name": "ROBERT",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-02",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3362ATI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.