Individual provider Active NPI

Cameron C Scott, O.D.

  • Optometrist
  • Miami, OK
National Provider Identifier
1699898429
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2433 Issued in OK
Practice address
7600 S Highway 69a
Miami, OK 74354-1016
Phone
(918) 332-4312
Fax
(918) 332-4418
NPI assigned
Apr 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2433 OK Primary

Addresses

Primary practice location

7600 S Highway 69a
Miami, OK 74354-1016

Mailing address

7600 S Highway 69a
Miami, OK 74354-1016
Phone (918) 332-4312

Other identifiers 1

IdentifierTypeStateIssuer
1502433MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050608000547 TX Practitioner - Optometry 6608819867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeastern Tribal Health SystemGroup PAC ID 7911893854, 20 clinicians

Practice addresses (Care Compare)

7600 S Hwy 69a
Miami, OK 74354-1016
Phone (918) 542-1655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2433OKMDOccupational Therapy Assistant
1604KSMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Tribal Health System CurrentSince Aug 17, 2008 Accepting new patients
KS Family Optometry LLC Optometrist Past Accepting new patients

Locations

7600 S Highway 69A
Miami, OK 74354
Phone (918) 542-1655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1699898429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 S HIGHWAY 69A",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541016",
            "telephone_number": "918-332-4312",
            "fax_number": "918-332-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 S HIGHWAY 69A",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743541016",
            "telephone_number": "918-332-4312",
            "fax_number": "918-332-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "CAMERON",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502433",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

Verify at the official NPI Registry.