Scott R Lewis, OD, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3587 Issued in WA

Legal business name

SCOTT R LEWIS, OD, PLLC

Practice address

19610 SE 1St St
Camas, WA 98607-7472

Phone

(360) 258-6234

NPI assigned

Jun 22, 2011

Last updated

Jun 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Robert Lewis, O.D.NPI 1801085576

Title

Owner/Optometrist

Phone

(360) 258-6234

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Robert Lewis, O.D.

  • Optometrist
  • Camas, WA
  • NPI 1801085576
  Medicare reassignment Care Compare group NPD Authorized official
• Jessica Walk, O.D.

  • Optometrist
  • Vancouver, WA
  • NPI 1477560993
  Medicare reassignment Care Compare group NPD
• Vladimir Stovbyr, OD

  • Optometrist
  • Kent, WA
  • NPI 1902158249
  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1316233968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19610 SE 1ST ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077472",
            "telephone_number": "360-258-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19610 SE 1ST ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077472",
            "telephone_number": "360-258-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R LEWIS, OD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "360-258-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Gene Scharrelman, LMP
• Glen Scheel
• Ben Schmaltz, LMT
• Cassandra Schnelle
• Michael Frank Schultz, DC
• Paul Montgomery Scott, DC
• Tienne Scott, MSN, RN
• Bonny E Seal, ND
• Jessica Leonora Seay, LCSW, LSWAIC
• Sensoriworks LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.