Individual provider Active NPI

Scott H Apted, OD

  • Optometrist
  • Centreville, VA
National Provider Identifier
1669486874
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601001335 Issued in VA
Practice address
5943 Centreville Crest LN
Centreville, VA 20121-2344
Phone
(703) 815-2020
Fax
(703) 815-2020
NPI assigned
Jul 27, 2006
Last updated
Aug 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0601001335 VA Primary

Addresses

Primary practice location

5943 Centreville Crest LN
Centreville, VA 20121-2344

Mailing address

5943 Centreville Crest LN
Centreville, VA 20121-2344
Phone (703) 815-2020

Other identifiers 1

IdentifierTypeStateIssuer
92-3756-9MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0601001335VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1669486874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5943 CENTREVILLE CREST LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212344",
            "telephone_number": "703-815-2020",
            "fax_number": "703-815-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5943 CENTREVILLE CREST LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212344",
            "telephone_number": "703-815-2020",
            "fax_number": "703-815-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APTED",
        "first_name": "SCOTT",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601001335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-3756-9",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.