Organization Active NPI

Scott a. Gartner, OD, PA

  • Low Vision Rehabilitation Optometrist
  • West Palm Beach, FL
National Provider Identifier
1407988694
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OPC1411 Issued in FL
Legal business name
SCOTT A. GARTNER, OD, PA
Practice address
1710 Tiffany Dr E
West Palm Beach, FL 33407-3242
Phone
(561) 586-5600
Fax
(866) 425-2030
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Authorized official

Name
Dr. Scott Alan Gartner, ODNPI 1144334103
Title
President
Phone
(954) 557-5913

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
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X OPC1411 FL Primary

Addresses

Primary practice location

1710 Tiffany Dr E
West Palm Beach, FL 33407-3242

Mailing address

5944 Coral Ridge Dr
#210
Coral Springs, FL 33076-3300
Phone (954) 557-5913

Other identifiers 1

IdentifierTypeStateIssuer
620469400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040819001104 FL Part B Supplier - Clinic/Group Practice 8022082726 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL; Naples, FL; West Palm Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Scott a Gartner OD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5800 Colonial Dr
Ste 300
Margate, FL 33063
Phone (561) 586-5600

601 SW 8th Ave
Miami, FL 33130
Phone (305) 856-2288

2685 S Horseshoe Dr
Ste 211
Naples, FL 34104
Phone (561) 586-5600

11382 Prosperity Farms Rd
Ste 128
Palm Beach Gardens, FL 33410
Phone (561) 327-7311

618 SE Ocean Blvd
Stuart, FL 34994
Phone (561) 586-5600

5601 Corporate Way
West Palm Beach, FL 33407
Phone (954) 557-5913

5601 Corporate Way
Ste 210
West Palm Beach, FL 33407

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304899200000",
    "number": "1407988694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5944 CORAL RIDGE DR",
            "address_2": "#210",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330763300",
            "telephone_number": "954-557-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 TIFFANY DR E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073242",
            "telephone_number": "561-586-5600",
            "fax_number": "866-425-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT A. GARTNER, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-05-09",
        "status": "A",
        "authorized_official_last_name": "GARTNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-557-5913",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC1411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620469400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.