Individual provider Active NPI

Samuel Sawyer Scott, OD

  • Optometrist
  • Senatobia, MS
National Provider Identifier
1659925816
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
997 Issued in MS
Practice address
305 W Main St
Senatobia, MS 38668-2146
Phone
(662) 562-6446
NPI assigned
Jul 26, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sawyer Scott Eyecare Center PLLC 2 clinicians

Practice addresses (Care Compare)

119 S Main St
Sardis, MS 38666-1722
Phone (662) 487-1316

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery57

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20190919002411 MS Practitioner - Optometry 7517297468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
997MSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sawyer Scott Eyecare Center PLLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
Sawyer Scott Eyecare Center PLLC Optometrist Current Accepting new patients
Sawyer Scott LLC Dba the Eyecare Center Optometrist PastSince Aug 26, 2019 Accepting new patients

Locations

119 S Main St
Sardis, MS 38666
Phone (662) 487-1316

305 W Main St
Senatobia, MS 38668
Phone (662) 562-6446

701 Cunningham Loop
Senatobia, MS 38668
Phone (662) 562-6446

Interoperability endpoints

  • Direct secure messaging: sam1@sawyerscotteyecarecenter.emadirect.md

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 997 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

305 W Main St
Senatobia, MS 38668-2146

Mailing address

305 W Main St
Senatobia, MS 38668-2146
Phone (662) 562-6446

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 26, 2019.

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1659925816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682146",
            "telephone_number": "662-562-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W MAIN ST",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386682146",
            "telephone_number": "662-562-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SAMUEL",
        "middle_name": "SAWYER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Senatobia, MS

Sources for this page

Verify at the official NPI Registry.