Individual provider Active NPI

Jennifer L Scott, O.F.

  • Optometrist
  • Eden Prairie, MN
National Provider Identifier
1588872147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2007 Issued in MN
Practice address
8251 Flying Cloud Dr
Suite 2024
Eden Prairie, MN 55344-5350
Phone
(952) 944-3131
Fax
(952) 944-9675
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2007 MN Primary

Addresses

Primary practice location

8251 Flying Cloud Dr
Suite 2024
Eden Prairie, MN 55344-5350

Mailing address

8251 Flying Cloud Dr
Suite 2024
Eden Prairie, MN 55344-5350
Phone (952) 944-3131

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040504001541 MN Practitioner - Optometry 7416945852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1984
Medicare assignment
May accept Medicare assignment
Group practices
I M I S Minnesota IncGroup PAC ID 9335268754, 4 clinicians

Practice addresses (Care Compare)

1601 Plymouth Rd
Minnetonka, MN 55305-1956
Phone (952) 546-4414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
I M I S Minnesota Inc Optometrist CurrentSince Apr 8, 2017 Accepting new patients

Locations

8251 Flying Cloud Dr
Ste 2024
Eden Prairie, MN 55344
Phone (952) 944-3131

8251 Flying Cloud Dr
Ste 2028
Eden Prairie, MN 55344
Phone (952) 944-3131

1601 Plymouth Rd
Minnetonka, MN 55305
Phone (952) 546-4414

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588872147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 FLYING CLOUD DR",
            "address_2": "SUITE 2024",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445350",
            "telephone_number": "952-944-3131",
            "fax_number": "952-944-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 FLYING CLOUD DR",
            "address_2": "SUITE 2024",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445350",
            "telephone_number": "952-944-3131",
            "fax_number": "952-944-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.F.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.