Individual provider Active NPI

Walter W Scase, O.D.

  • Optometrist
  • Marion, IN
National Provider Identifier
1669457255
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002915B Issued in IN
Practice address
3240 S Western Ave
Marion, IN 46953-3967
Phone
(765) 662-3936
Fax
(765) 662-3978
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002915B IN Primary
Corneal and Contact Management Optometrist 152WC0802X 18002915B IN

Addresses

Primary practice location

3240 S Western Ave
Marion, IN 46953-3967

Mailing address

1522 S 700 W
Swayzee, IN 46986
Phone (765) 384-7830

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
I20111003000670 IN Practitioner - Optometry 7517139108 Practice locations: Marion, IN

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3240 S Western Ave
Marion, IN 46953-3967
Phone (765) 662-3936

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002915BINMDCorneal and Contact Management Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1669457255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 S 700 W",
            "city": "SWAYZEE",
            "state": "IN",
            "postal_code": "46986",
            "telephone_number": "765-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 S WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469533967",
            "telephone_number": "765-662-3936",
            "fax_number": "765-662-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCASE",
        "first_name": "WALTER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002915B",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IN",
            "license": "18002915B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.