Active NPI
Clifford Scott, OD
- Optometrist
- Boston, MA
National Provider Identifier
1699775106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2229
- Practice address
- 1255 Boylston St
Boston, MA 02215-3468 - Phone
- (617) 262-2020
- Fax
- (617) 236-6323
- NPI assigned
- Jul 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2229 | MA | Primary |
Addresses
Primary practice location
1255 Boylston St
Boston, MA 02215-3468
Mailing address
1255 Boylston St
Boston, MA 02215-3468
Phone (617) 262-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30666 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2229 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New England Eye Institute Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1699775106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 BOYLSTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153468",
"telephone_number": "617-262-2020",
"fax_number": "617-236-6323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 BOYLSTON ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022153468",
"telephone_number": "617-262-2020",
"fax_number": "617-236-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "CLIFFORD",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30666",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.