Active NPI
Mark Francis Scott, OD
- Optometrist
- Worcester, MA
National Provider Identifier
1639294267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TP3012
- Practice address
- 120 Stafford Street
Worcester, MA 01603-1422 - Phone
- (508) 754-3121
- Fax
- (508) 754-8942
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TP3012 | MA | Primary |
Addresses
Primary practice location
120 Stafford Street
Worcester, MA 01603-1422
Mailing address
120 Stafford Street
Worcester, MA 01603-1422
Phone (508) 754-3121
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42930 | Other | MA | CIGNA |
| W15584 | Other | MA | BC BS |
| 725531 | Other | MA | TUFFS |
| 110099335 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP3012 | MA | MD | Optometrist |
| 3012 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1639294267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 STAFFORD STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031422",
"telephone_number": "508-754-3121",
"fax_number": "508-754-8942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 STAFFORD STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016031422",
"telephone_number": "508-754-3121",
"fax_number": "508-754-8942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "MARK",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "TP3012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "42930",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "W15584",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFFS",
"identifier": "725531",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110099335",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.