Active NPI
Scott D Clough, OD
- Optometrist
- Port Richey, FL
National Provider Identifier
1326042375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC-2165
- Practice address
- 9409 US Highway 19 Ste 101
Port Richey, FL 34668-4626 - Phone
- (727) 859-9009
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | OPC-2165 | FL | Primary |
Addresses
Primary practice location
9409 US Highway 19 Ste 101
Port Richey, FL 34668-4626
Mailing address
9409 US Highway 19 Ste 101
Port Richey, FL 34668-4626
Phone (727) 859-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120220000049 | FL | Practitioner - Optometry | 0244498418 | Practice locations: Brooksville, FL; Spring Hill, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC-2165 | FL | MD | Optometrist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1326042375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9409 US HIGHWAY 19 STE 101",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346684626",
"telephone_number": "727-859-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9409 US HIGHWAY 19 STE 101",
"city": "PORT RICHEY",
"state": "FL",
"postal_code": "346684626",
"telephone_number": "727-859-9009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUGH",
"first_name": "SCOTT",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC-2165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.