Organization Active NPI

Scott Earle, O.D., P.C.

  • Optometrist
  • Poughkeepsie, NY
National Provider Identifier
1700890696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV 006869 Issued in NY
Legal business name
SCOTT EARLE, O.D., P.C.
Practice address
488 Freedom Plains Rd
Suite 137
Poughkeepsie, NY 12603-2689
Phone
(845) 471-7400
Fax
(845) 471-7531
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Richard Earle, O.D.NPI 1851338933
Title
Optometrist
Phone
(845) 471-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV 006869 NY Primary

Addresses

Primary practice location

488 Freedom Plains Rd
Suite 137
Poughkeepsie, NY 12603-2689

Mailing address

488 Freedom Plains Rd
Suite 137
Poughkeepsie, NY 12603-2689
Phone (845) 471-7400

Other names 1

  • LaGrange Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060817000138 NY Part B Supplier - Clinic/Group Practice 2860495678 Receives reassigned benefits from 1 practitioner
Practice locations: Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

488 Freedom Plains Rd
Ste 137
Poughkeepsie, NY 12603
Phone (845) 471-7400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700890696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 FREEDOM PLAINS RD",
            "address_2": "SUITE 137",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032689",
            "telephone_number": "845-471-7400",
            "fax_number": "845-471-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 FREEDOM PLAINS RD",
            "address_2": "SUITE 137",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032689",
            "telephone_number": "845-471-7400",
            "fax_number": "845-471-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT EARLE, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "845-471-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 006869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LaGrange Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.