Individual provider Active NPI

Scott A Cory, MD

  • Optometrist
  • Portage, IN
National Provider Identifier
1376519975
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01047885A Issued in IN
Practice address
6333 Central Ave
Portage, IN 46368-3801
Phone
(219) 762-4801
Fax
(219) 764-9974
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01047885A IN Primary

Addresses

Primary practice location

6333 Central Ave
Portage, IN 46368-3801

Mailing address

6333 Central Ave
Portage, IN 46368-3801
Phone (219) 762-4801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060713000287 IN Practitioner - Ophthalmology 9638182785 Receives reassigned benefits from 1 practitioner
Practice locations: Portage, IN

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6509 Central Ave
Portage, IN 46368-3101
Phone (219) 762-4801

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
27.8 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
72.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery507

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01047885AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cory Eyecare PTR Optometrist CurrentSince Nov 26, 2018 Accepting new patients

Locations

6509 Central Ave
Portage, IN 46368
Phone (219) 762-4801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376519975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683801",
            "telephone_number": "219-762-4801",
            "fax_number": "219-764-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 CENTRAL AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463683801",
            "telephone_number": "219-762-4801",
            "fax_number": "219-764-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "01047885A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.