Active NPI
Carolyn Scott, O.D.
- Optometrist
- Holbrook, NY
National Provider Identifier
1497957385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T005457-1
- Practice address
- 5735 Sunrise Hwy
Holbrook, NY 11741-4801 - Phone
- (631) 244-2727
- NPI assigned
- Jun 3, 2007
- Sex
- Female
- Sole proprietor
- No
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 | T005457-1 | NY | Primary |
Addresses
Primary practice location
5735 Sunrise Hwy
Holbrook, NY 11741-4801
Mailing address
155 Bishop LN
Holbrook, NY 11741-5026
Phone (631) 567-1302
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 |
|---|---|---|---|
| T005457-1 | NY | MD | Optometrist |
| 005457 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497957385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 BISHOP LN",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117415026",
"telephone_number": "631-567-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5735 SUNRISE HWY",
"city": "HOLBROOK",
"state": "NY",
"postal_code": "117414801",
"telephone_number": "631-244-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CAROLYN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T005457-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holbrook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.