Individual provider Active NPI

David E Scott, O.D.

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1609874536
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1597DPAT Issued in IA
Practice address
6004 SW 9TH St
Des Moines, IA 50315-5011
Phone
(515) 287-0820
Fax
(515) 287-0938
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X
Optometrist 152W00000X 1597DPAT IA Primary

Addresses

Primary practice location

6004 SW 9TH St
Des Moines, IA 50315-5011

Mailing address

6004 SW 9TH St
Des Moines, IA 50315-5011
Phone (515) 287-0820

Other identifiers 1

IdentifierTypeStateIssuer
0122432MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20041215000686 IA Practitioner - Optometry 0941267553 Reassigns benefits to 1 organization
Practice locations: Des Moines, IA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Feh OptometryGroup PAC ID 8022458496, 3 clinicians

Practice addresses (Care Compare)

6004 SW 9TH St
Des Moines, IA 50315-5011
Phone (515) 287-0820

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1597DPATIAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Feh Optometry Optometrist CurrentSince May 15, 2024 Accepting new patients

Locations

6004 SW 9th St
Des Moines, IA 50315
Phone (515) 287-0820

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1609874536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6004 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155011",
            "telephone_number": "515-287-0820",
            "fax_number": "515-287-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6004 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503155011",
            "telephone_number": "515-287-0820",
            "fax_number": "515-287-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1597DPAT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0122432",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.