Individual provider Active NPI

Scott David Pycraft, O.D.

  • Optometrist
  • Wooster, OH
National Provider Identifier
1689945602
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6096 Issued in OH
Practice address
470 E Milltown Rd Unit B
Wooster, OH 44691-1250
Phone
(330) 601-0393
Fax
(330) 601-0394
NPI assigned
Jan 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6096 OH Primary

Addresses

Primary practice location

470 E Milltown Rd Unit B
Wooster, OH 44691-1250

Mailing address

470 E Milltown Rd Unit B
Wooster, OH 44691-1250
Phone (330) 601-0393

Other practice location 1

1720 Paradise Rd
Orrville, OH 44667-9418
Phone (330) 682-1276 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
T3011OtherOHTHERAPEUTIC CERT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120606000579 OH Practitioner - Optometry 6608030481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pycraft Family Eye Care LTDGroup PAC ID 3072872621, 3 clinicians

Practice addresses (Care Compare)

470 E Milltown Rd
Suite B
Wooster, OH 44691-1250
Phone (330) 601-0393

470 E Milltown Rd Unit B
Wooster, OH 44691-1250

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6096OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pycraft Family Eye Care LTD Optometrist CurrentSince Oct 23, 2017 Accepting new patients
Mobile Medical, Inc. CurrentSince Jun 1, 2014 Accepting new patients
Mobile Medical Inc Optometrist CurrentSince Jun 1, 2014 Accepting new patients
Pycraft Family Eye Care LTD Optometrist CurrentSince Jan 1, 2017 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

1720 Paradise Rd
Orrville, OH 44667
Phone (330) 682-1276

106 N Main St
Orrville, OH 44667
Phone (330) 682-1276

3255 Levis Commons Blvd
Perrysburg, OH 43551
Phone (419) 874-0393

470 E Milltown Rd
#B
Wooster, OH 44691
Phone (330) 345-8300

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1327276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1689945602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 E MILLTOWN RD UNIT B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911250",
            "telephone_number": "330-601-0393",
            "fax_number": "330-601-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E MILLTOWN RD UNIT B",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911250",
            "telephone_number": "330-601-0393",
            "fax_number": "330-601-0394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Paradise Rd",
            "address_purpose": "LOCATION",
            "city": "Orrville",
            "state": "OH",
            "postal_code": "446679418",
            "country_code": "US",
            "telephone_number": "330-682-1276 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYCRAFT",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-23",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THERAPEUTIC CERT",
            "identifier": "T3011",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.