Active NPI
Sallye S. Scott, OD
- Optometrist
- Sardis, MS
National Provider Identifier
1497783864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 472
- Practice address
- 119 S Main Street
Sardis, MS 38666 - Phone
- (662) 487-1316
- Fax
- (662) 487-9270
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- 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 | 472 | MS | Primary |
Addresses
Primary practice location
119 S Main Street
Sardis, MS 38666
Mailing address
PO Box 385
Sardis, MS 38666-0385
Phone (662) 487-1316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00087881 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 472 | MS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1497783864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 385",
"city": "SARDIS",
"state": "MS",
"postal_code": "386660385",
"telephone_number": "662-487-1316",
"fax_number": "662-487-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 S MAIN STREET",
"city": "SARDIS",
"state": "MS",
"postal_code": "38666",
"telephone_number": "662-487-1316",
"fax_number": "662-487-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SALLYE",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00087881",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sardis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.