Individual provider Active NPI

Dawn Anise Scott, O.D.

  • Optometrist
  • North Versailles, PA
National Provider Identifier
1669584140
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000432 Issued in PA
Practice address
100 Walmart Dr
North Versailles, PA 15137-1535
Phone
(412) 816-2272
Fax
(412) 816-2275
NPI assigned
Aug 31, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000432 PA Primary

Addresses

Primary practice location

100 Walmart Dr
North Versailles, PA 15137-1535

Mailing address

313 Sharon Dr
Pittsburgh, PA 15221-4029
Phone (412) 816-2272

Other identifiers 3

IdentifierTypeStateIssuer
SC1510796OtherPABLUE CROSS GROUP NUMBER
01740116OtherPAMAID NUMBER
52936OtherPADAVIS VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100504000516 PA Practitioner - Optometry 4486782901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000432PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Family Eye Care, PLLC Optometrist CurrentSince Apr 8, 2010 Accepting new patients

Locations

100 Walmart Dr
North Versailles, PA 15137
Phone (412) 816-0307

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669584140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 SHARON DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152214029",
            "telephone_number": "412-816-2272",
            "fax_number": "412-816-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WALMART DR",
            "city": "NORTH VERSAILLES",
            "state": "PA",
            "postal_code": "151371535",
            "telephone_number": "412-816-2272",
            "fax_number": "412-816-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DAWN",
        "middle_name": "ANISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "SC1510796",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAID NUMBER",
            "identifier": "01740116",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "52936",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Versailles, PA

Sources for this page

Verify at the official NPI Registry.