Active NPI
Gary Wayne Scearce, O.D.
- Optometrist
- Crown Point, IN
National Provider Identifier
1649253352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001881B
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000084509 | Other | IN | ANTHEM |
| 100158610A | Medicaid | IN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18001881B | IN | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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.