Individual provider Active NPI

Gary Wayne Scearce, O.D.

  • Optometrist
  • Crown Point, IN
National Provider Identifier
1649253352
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001881B Issued in IN
Practice address
449 E Summit St
Crown Point, IN 46307-3539
Phone
(219) 662-1600
Fax
(219) 662-2760
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001881B IN Primary

Addresses

Primary practice location

449 E Summit St
Crown Point, IN 46307-3539

Mailing address

449 E Summit St
Crown Point, IN 46307-3539
Phone (219) 662-1600

Other identifiers 2

IdentifierTypeStateIssuer
000000084509OtherINANTHEM
100158610AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20080916000545 IN Practitioner - Optometry 8224105309 Receives reassigned benefits from 1 practitioner
Practice locations: Crown Point, IN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001881BINMDOptometrist

Locations

449 E Summit St
Ste A
Crown Point, IN 46307
Phone (219) 662-1600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1649253352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073539",
            "telephone_number": "219-662-1600",
            "fax_number": "219-662-2760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073539",
            "telephone_number": "219-662-1600",
            "fax_number": "219-662-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCEARCE",
        "first_name": "GARY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001881B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000084509",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100158610A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.