Sawyer Scott Eyecare Center PLLC
Organization Active NPI Optometrist · Sardis, MS
NPI 1356904445 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1356904445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Samuel Sawyer Scott, OD
- Title
- Owner
- Phone
- (662) 487-1316
Practitioners 3
-
Alyssa Mabry, OD
-
Seth Aaron Salley, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 - Optometrist |
7315289741 | Practice locations: Sardis, MS |
National Provider Directory
Locations
119 S Main St
Sardis, MS 38666
Phone (662) 487-1316
701 Cunningham Loop
Senatobia, MS 38668
Phone (662) 562-6446
305 W Main St
Senatobia, MS 38668
Phone (662) 562-6446
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
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
Other providers in Sardis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.