Active NPI
Scott M. Pearl, O.D.
- Optometrist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC001954
- Practice address
- 535 Los Caminos St
St Augustine, FL 32095-7417 - Phone
- (954) 655-8330
- NPI assigned
- Aug 1, 2005
- Last updated
- Jan 8, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC001954 | FL | Primary |
Addresses
Primary practice location
535 Los Caminos St
St Augustine, FL 32095-7417
Mailing address
535 Los Caminos St
St Augustine, FL 32095-7417
Phone (954) 655-8330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC001954 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
| Kennedy Vision PA | Optometrist | Current | Accepting new patients |
| Aeg Florida Professional PLLC | Optometrist | Current | Accepting new patients |
| Bartram Vision Care | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Florida, LLC | Optometrist | Current | Accepting new patients |
Locations
4788 Hodges Blvd
Ste 205
Jacksonville, FL 32224
Phone (904) 992-9991
18503 Pines Blvd
Ste 205
Pembroke Pines, FL 33029
Phone (954) 430-8330
1185 Saint Johns Pkwy
Ste 4
St Johns, FL 32259
Phone (904) 686-1420
450 State Road 13 N
Ste 107
St Johns, FL 32259
Phone (904) 287-3387
1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 893-4005
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Jacksonville, FL
- NPI 1164156246
-
- Optometrist
- Saint Johns, FL
- NPI 1528659406
-
- Optometrist
- Clearwater, FL
- NPI 1730054594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1467452474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 LOS CAMINOS ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320957417",
"telephone_number": "954-655-8330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 LOS CAMINOS ST",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320957417",
"telephone_number": "954-655-8330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARL",
"first_name": "SCOTT",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC001954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.