Individual provider Active NPI

Albert Lee Scaief, O.D., M.S.

  • Optometrist
  • Oakdale, CA
National Provider Identifier
1609939560
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5202T Issued in CA
Practice address
1390 W H St
Suite E
Oakdale, CA 95361-3570
Phone
(209) 847-1726
Fax
(209) 847-0235
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5202T CA Primary

Addresses

Primary practice location

1390 W H St
Suite E
Oakdale, CA 95361-3570

Mailing address

1390 W H St
Suite E
Oakdale, CA 95361-3570
Phone (209) 847-1726

Other identifiers 3

IdentifierTypeStateIssuer
SD0052020MedicaidCA
0467540001OtherCADMERC
410043565OtherCARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20081215000614 CA Practitioner - Optometry 0840352506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5202TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Lee Scaief O D M S a Professional Corporation Optometrist CurrentSince Nov 27, 2000 Accepting new patients

Locations

1390 W H St
Ste E
Oakdale, CA 95361
Phone (209) 847-1726

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1609939560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 W H ST",
            "address_2": "SUITE E",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613570",
            "telephone_number": "209-847-1726",
            "fax_number": "209-847-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W H ST",
            "address_2": "SUITE E",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613570",
            "telephone_number": "209-847-1726",
            "fax_number": "209-847-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAIEF",
        "first_name": "ALBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5202T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0052020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0467540001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410043565",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.