Scott B Sutherland, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

967DT Issued in KY

Practice address

304 Main St
Cadiz, KY 42211-9104

Phone

(270) 522-3263

Fax

(270) 522-6240

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Southern College of Optometry, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1326008418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119104",
            "telephone_number": "270-522-3263",
            "fax_number": "270-522-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422119104",
            "telephone_number": "270-522-3263",
            "fax_number": "270-522-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "SCOTT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "967DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009678",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Paige Stevens, OTR/L, MSOT
• Diane Elizabeth Stewart
• Billie Dawn Stokes, APRN
• Abbey Lee Stone, DNP, APRN, FNP-BC
• Danita Dawn Sumner, PTA
• Cathy S Thieme, P.A.
• Erica Beth Thompson
• Marguerita Van Brakel Townsend, CRNA
• Trigg County Board of Education
• Trigg County Home Health, Inc.

• Optometrist in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2017; 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.

Verify at the official NPI Registry.