NPIMap

Scott & White Clinic

Organization Active NPI Eyewear Supplier · Temple, TX

NPI 1457314528 · NPPES record last updated Aug 1, 2024

Key facts

NPI
1457314528
Entity type
Organization (NPI type 2)
Primary specialty
Eyewear Supplier 332H00000X
Legal business name
SCOTT & WHITE CLINIC
Practice address
1815 S 31St St
Temple, TX 76504-6728
Phone
(254) 724-2020
Fax
(254) 724-9571
NPI assigned
Apr 10, 2006
Organization subpart
Yes
Parent organization (as reported)
SCOTT & WHITE OPTICAL

Authorized official

Name
Alicia Cantu
Title
System Director, CBS
Phone
(254) 215-9719

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 20

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

Practitioners 2,426

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

View all 2,426

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Scott & White Optical Shop
1815 S 31St St, Temple, TX 76504-6728 · (254) 215-9523		 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignment
Participating since Mar 4, 1994

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100930018327 TX DME Supplier - Optician 8123923604 Practice locations: Temple, TX

National Provider Directory

Tax ID family
Scott White Clinic (21 organizations share this tax ID)
Part of
Scott White Clinic

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Yes

Addresses

Primary practice location

1815 S 31St St
Temple, TX 76504-6728

Mailing address

PO Box 848496
Dallas, TX 75284-8496
Phone (254) 724-2111

Other identifiers

IdentifierTypeStateIssuer
1598088-01MedicaidTX
4356110003OtherTXRR/MEDICARE

Other providers in Temple, TX

All providers in Temple, TX · Eyewear Supplier in Texas

Sources for this page

Verify at the official NPI Registry.