Organization Active NPI

Scott P Daly Santa Cruz Optometric

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1669695532
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7785 Issued in CA
Legal business name
SCOTT P DALY SANTA CRUZ OPTOMETRIC
Practice address
904 Cedar St
Santa Cruz, CA 95060-3802
Phone
(831) 426-1050
Fax
(831) 423-1050
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Dr. Scott Patrick Daly, O.D.
Title
Owner
Phone
(831) 426-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 7785 CA Primary

Addresses

Primary practice location

904 Cedar St
Santa Cruz, CA 95060-3802

Mailing address

904 Cedar St
Santa Cruz, CA 95060-3802
Phone (831) 426-1050

Other identifiers 1

IdentifierTypeStateIssuer
SD0077851OtherCAINDIVIDUAL PTAN

Other names 1

  • Santa Cruz Optometric Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1669695532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CEDAR ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603802",
            "telephone_number": "831-426-1050",
            "fax_number": "831-423-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CEDAR ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603802",
            "telephone_number": "831-426-1050",
            "fax_number": "831-423-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT P DALY SANTA CRUZ OPTOMETRIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-426-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "SD0077851",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Cruz Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.