Individual provider Active NPI

Scott Andrew Harris, O.D.

  • Optometrist
  • Richardson, TX
National Provider Identifier
1417201104
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8090 Issued in TX
Practice address
660 W Campbell Rd
Ste 102
Richardson, TX 75080
Phone
(972) 231-9595
Fax
(972) 664-1629
NPI assigned
Nov 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8090 TX Primary

Addresses

Primary practice location

660 W Campbell Rd
Ste 102
Richardson, TX 75080

Mailing address

660 W Campbell Rd
Ste 102
Richardson, TX 75080-3469
Phone (972) 231-3439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130418000164 TX Practitioner - Optometry 5991941916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott a Harris PLLCGroup PAC ID 8921499948, 2 clinicians

Practice addresses (Care Compare)

660 W Campbell Rd
Suite 102
Richardson, TX 75080-3473
Phone (972) 231-3439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8090TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a Harris PLLC Optometrist CurrentSince Dec 8, 2021 Accepting new patients

Locations

660 W Campbell Rd
Ste 102
Richardson, TX 75080
Phone (972) 231-3439

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.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1417201104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 W CAMPBELL RD",
            "address_2": "STE 102",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803469",
            "telephone_number": "972-231-3439",
            "fax_number": "972-231-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 W CAMPBELL RD",
            "address_2": "STE 102",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "75080",
            "telephone_number": "972-231-9595",
            "fax_number": "972-664-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SCOTT",
        "middle_name": "ANDREW",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-01",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.