Scott E Armer, OD

Individual provider Active NPI Optometrist · Kent, WA

NPI 1477531507 · NPPES record last updated Oct 27, 2008

Key facts

NPI
1477531507
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
3049TX (WA)
Practice address
407 W Gowe St
103
Kent, WA 98032-5806
Phone
(253) 852-7444
Fax
(253) 520-4825
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 W Gowe St
Suite 103
Kent, WA 98032-5806

407 W Gowe St
Kent, WA 98032-5806
Phone (252) 852-7444

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20070416000430 WA Practitioner - Optometry 5698870921 Practice locations: Kent, WA

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3049TXWAMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3049TX WA Yes

Addresses

Primary practice location

407 W Gowe St
103
Kent, WA 98032-5806

Mailing address

407 W Gowe St
103
Kent, WA 98032-5806
Phone (253) 852-7444

Other identifiers

IdentifierTypeStateIssuer
2017945MedicaidWA

Other providers in Kent, WA

All providers in Kent, WA · Optometrist in Washington

Sources for this page

Verify at the official NPI Registry.