Organization Active NPI

Scott D. Fiscus

Doing business as Precision Ocular Prosthetics

  • Ocularist
  • Nashville, TN
National Provider Identifier
1518277672
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Legal business name
SCOTT D. FISCUS
Doing business as
Precision Ocular Prosthetics
Practice address
2611 Westwood Dr
Suite a
Nashville, TN 37204-2709
Phone
(615) 361-0930
Fax
(615) 467-7507
NPI assigned
Oct 7, 2010
Last updated
Apr 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Scott D Fiscus, B.C.O.NPI 1346343928
Title
Owner
Phone
(615) 361-0930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1700X Primary
Prosthetic/Orthotic Supplier 335E00000X 02-294-20 TN

Addresses

Primary practice location

2611 Westwood Dr
Suite a
Nashville, TN 37204-2709

Mailing address

2611 Westwood Dr
Suite a
Nashville, TN 37204-2709
Phone (615) 361-0930

Other identifiers 2

IdentifierTypeStateIssuer
Q021236MedicaidTN
90274218MedicaidKY

Other names 1

  • Precision Ocular Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170327001112 TN DME Supplier - Ocularist 3577848928 Practice locations: Nashville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Scott D Fiscus2611 Westwood Dr, Nashville, TN 37204-2709(615) 361-0930 Facial Prostheses|Ocular Prostheses Does not accept assignmentParticipating since Mar 27, 2017

National Provider Directory

National Provider Directory

Locations

2611 Westwood Dr
Ste A
Nashville, TN 37204
Phone (615) 361-0930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1518277672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WESTWOOD DR",
            "address_2": "SUITE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042709",
            "telephone_number": "615-361-0930",
            "fax_number": "615-467-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WESTWOOD DR",
            "address_2": "SUITE A",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372042709",
            "telephone_number": "615-361-0930",
            "fax_number": "615-467-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D. FISCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "FISCUS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-361-0930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.C.O."
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TN",
            "license": "02-294-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021236",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90274218",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Ocular Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.