Active NPI
Scot Corbin Holman, M.D.
- Ophthalmology Physician
- Tavares, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME98150
- Practice address
- 3310 Waterman Way
Tavares, FL 32778-5250 - Phone
- (352) 343-2020
- Fax
- (352) 343-4728
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME98150 | FL | Primary |
Addresses
Primary practice location
3310 Waterman Way
Tavares, FL 32778-5250
Mailing address
3310 Waterman Way
Tavares, FL 32778-5250
Phone (352) 343-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278933700 | Medicaid | FL |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Tennessee, HSC, College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1852 Mayo Dr
Tavares, FL 32778-4320
Phone (352) 343-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 609 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME98150 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Premier Eye Associates | Ophthalmology | Current | Accepting new patients |
| Santa Fe Surgery Center LLC | Current | Accepting new patients |
Locations
601 E Dixie Ave
Ste 201
Leesburg, FL 34748
Phone (352) 253-5961
1852 Mayo Dr
Tavares, FL 32778
Phone (352) 343-2020
3310 Waterman Way
Tavares, FL 32778
Phone (352) 343-1216
1400 N US Highway 441
Ste 521
The Villages, FL 32159
Phone (352) 253-5961
5431 E State Road 44
Ste 1
Wildwood, FL 34785
Phone (352) 360-6261
5431 E State Road 44
Wildwood, FL 34785
Phone (352) 632-2020
Organizations & group practices 2
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.
-
dba Lake Eye Associates
- Ophthalmology Physician
- Tavares, FL
- NPI 1013956986
-
- Ambulatory Surgical Clinic/Center
- Lady Lakes, FL
- NPI 1518264332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1467533505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785250",
"telephone_number": "352-343-2020",
"fax_number": "352-343-4728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3310 WATERMAN WAY",
"city": "TAVARES",
"state": "FL",
"postal_code": "327785250",
"telephone_number": "352-343-2020",
"fax_number": "352-343-4728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "SCOT",
"middle_name": "CORBIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME98150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278933700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tavares, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.