Steven Charles Scruggs, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1612ATI Issued in OR

Practice address

261 Marine Dr
Astoria, OR 97103-4325

Phone

(503) 325-4641

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455580800000",
    "number": "1528124153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034325",
            "telephone_number": "503-325-4641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MARINE DR",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971034325",
            "telephone_number": "503-325-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRUGGS",
        "first_name": "STEVEN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2016-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1612ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "840481000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Joy Schmidt, MD
• Lauren Jane Schultz, PA-C
• Tyler R Schulz, DO
• Kyle Athen Schurman, IDHS
• Scott Aaron Smith DDS, LLC
• Barry Kim Sears, D.C.
• Rachel Lynn Sechler, DDS
• Serenity Partners, LLC
• Serenity Partners, LLC Dba Serenity by the Sea
• Jeremiah Shakespear, DDS

• Optometrist in Astoria, OR
• Providers in Astoria, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.