Organization Active NPI

Scott M Braun OD PLLC

  • Optometrist
  • Port Angeles, WA
National Provider Identifier
1528344314
Registry record updated Jun 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1466TX Issued in WA
Legal business name
SCOTT M BRAUN OD PLLC
Practice address
901 S Lincoln St
Port Angeles, WA 98362-7848
Phone
(360) 452-4056
Fax
(360) 457-1686
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2017

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

Authorized official

Name
Tiffany Linker
Title
Office Manager
Phone
(360) 452-4056

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1466TX WA Primary
Eyewear Supplier 332H00000X 1466TX WA

Addresses

Primary practice location

901 S Lincoln St
Port Angeles, WA 98362-7848

Mailing address

901 S Lincoln St
Port Angeles, WA 98362-7848
Phone (360) 452-4056

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497484800000",
    "number": "1528344314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S LINCOLN ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627848",
            "telephone_number": "360-452-4056",
            "fax_number": "360-457-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S LINCOLN ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627848",
            "telephone_number": "360-452-4056",
            "fax_number": "360-457-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M BRAUN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2017-06-15",
        "status": "A",
        "authorized_official_last_name": "LINKER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-452-4056"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1466TX",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "1466TX",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.