Scott Douglas Burnop, OD
Individual provider Active NPI Optometrist · Marion, VA
NPI 1295728103 · NPPES record last updated Jan 24, 2014
Key facts
- NPI
- 1295728103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0618000903 (VA)
- Practice address
- 1247 N Main St
Marion, VA 24354-4311 - Phone
- (276) 783-6262
- Fax
- (276) 783-2295
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1247 N Main St
Marion, VA 24354-4311
Phone (276) 783-6262
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20050502000612 | VA | Practitioner - Optometry | 8820037542 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618000903 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott D. Burnop Odpc | Optometrist | Current |
Accepting new patients |
| Eye Physicians of Southwest Virginia P C | Past |
Accepting new patients | |
| Eye Physicians of Southwest Virginia PC | Past |
Accepting new patients | |
| Thomas William Voglewede | Optometrist | Past |
Accepting new patients |
Locations
1247 N Main St
Marion, VA 24354
Phone (276) 783-6262
Interoperability endpoints
- drburnop@royaloakeye.eyefinitydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618000903 | VA | Yes |
Addresses
Primary practice location
1247 N Main St
Marion, VA 24354-4311
Mailing address
1247 N Main St
Marion, VA 24354-4311
Phone (276) 783-6262
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010156084 | Medicaid | VA | |
| P00215392 | Other | VA | RAILROAD MEDICARE |
Other providers in Marion, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2014. 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.