NPIMap

Organization Active NPI

Sawyer Scott Eyecare Center PLLC

  • Optometrist
  • Sardis, MS
National Provider Identifier
1356904445
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SAWYER SCOTT EYECARE CENTER PLLC
Practice address
119 S Main St
Sardis, MS 38666-1722
Phone
(662) 487-1316
Fax
(662) 487-9270
NPI assigned
Apr 15, 2019
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Dr. Samuel Sawyer Scott, ODNPI 1659925816
Title
Owner
Phone
(662) 487-1316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

119 S Main St
Sardis, MS 38666-1722

Mailing address

PO Box 385
Sardis, MS 38666-0385
Phone (662) 487-1316

Other practice location 1

305 W Main St
Senatobia, MS 38668-2146
Phone (662) 562-6446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190503001098 MS Part B Supplier - Clinic/Group Practice 7315289741 Receives reassigned benefits from 2 practitioners
Practice locations: Sardis, MS; Senatobia, MS
O20191008001043 MS DME Supplier - Physician - OptometristDME Supplier - Optician 7315289741 Practice locations: Sardis, MS

National Provider Directory

National Provider Directory

Locations

701 Cunningham Loop
Senatobia, MS 38668
Phone (662) 562-6446

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1356904445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "386660385",
            "telephone_number": "662-487-1316",
            "fax_number": "662-487-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S MAIN ST",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "386661722",
            "telephone_number": "662-487-1316",
            "fax_number": "662-487-9270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Main St",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682146",
            "country_code": "US",
            "telephone_number": "662-562-6446",
            "fax_number": "662-562-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAWYER SCOTT EYECARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "SAWYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-487-1316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sardis, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.