Individual provider Active NPI

Scott Michael Wright, OD

  • Optometrist
  • Duluth, MN
National Provider Identifier
1710076658
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2844 Issued in MN
Practice address
1344 W Arrowhead Rd
Duluth, MN 55811-2218
Phone
(715) 392-6222
Fax
(715) 392-6220
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 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 2844 MN Primary

Addresses

Primary practice location

1344 W Arrowhead Rd
Duluth, MN 55811-2218

Mailing address

1344 W Arrowhead Rd
Duluth, MN 55811-2218
Phone (715) 392-6222

Other identifiers 5

IdentifierTypeStateIssuer
164327OtherMNUCARE
522433100MedicaidMN
586G1WROtherMNBLUE CROSS BLUE SHEILD
22-03410OtherMNMEDICA
647281034058OtherMNPREFFERED ONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040409000181 MN Practitioner - Optometry 8628062056 Reassigns benefits to 2 organizations
I20220221000478 WI Practitioner - Optometry 8628062056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Pro II IncGroup PAC ID 4880599034, 5 clinicians

Practice addresses (Care Compare)

1028 7TH Ave
Two Harbors, MN 55616-1149
Phone (218) 834-3937

1344 W Arrowhead Rd
Duluth, MN 55811-2218
Phone (218) 728-6211

500 Folz Blvd
Moose Lake, MN 55767-8175
Phone (218) 485-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2844MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Vision Pro II Inc Optometrist CurrentSince Jul 11, 2011 Accepting new patients
Visionworks Inc Past Accepting new patients
Vision World Inc Past Accepting new patients
Vision World Inc Past Accepting new patients

Locations

1344 W Arrowhead Rd
Duluth, MN 55811
Phone (218) 728-6211

16025 W Bluemound Rd
Brookfield, WI 53005
Phone (262) 785-0490

4800 Golf Rd
Ste 436
Eau Claire, WI 54701
Phone (715) 834-8404

2425 Tower Ave
Superior, WI 54880
Phone (715) 392-3352

2500 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 453-2315

Organizations & group practices 6

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1710076658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "715-392-6222",
            "fax_number": "715-392-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "715-392-6222",
            "fax_number": "715-392-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SCOTT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "164327",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "522433100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "586G1WR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "22-03410",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED ONE",
            "identifier": "647281034058",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

Verify at the official NPI Registry.