Active NPI
Scott A. Trefts, O.D.
- Optometrist
- St Simons Is, GA
National Provider Identifier
1740315936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2639
- Practice address
- 312 Redfern VLG
St Simons Is, GA 31522-2522 - Phone
- (912) 638-8652
- Fax
- (912) 638-0490
- NPI assigned
- Feb 21, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1881 | NC | |
| Optometrist | 152W00000X | 0618001641 | VA | |
| Optometrist | 152W00000X | 2639 | GA | Primary |
Addresses
Primary practice location
312 Redfern VLG
St Simons Is, GA 31522-2522
Mailing address
312 Redfern VLG
St Simons Island, GA 31522-2522
Phone (912) 638-8652
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8909293 | Medicaid | NC | |
| 093NE | Other | NC | BLUECROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Missouri St Louis - School of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
312 Redfern VLG
St Simons Is, GA 31522-2522
Phone (912) 638-8652
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 38 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2639 | GA | MD | Optometrist |
| 1881 | NC | MD | Optometrist |
| 0618001641 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Eye Care LLC | Optometrist | Current | Accepting new patients |
| Winston Eye Associates OD PA | Optometrist | Past | Accepting new patients |
| Dr Joel N. Zaba LTD | Past | Accepting new patients | |
| Optical Illusions, PC | Optometrist | Past | Accepting new patients |
| Aftel & Rader, Optometrists, P.L.C. | Optometrist | Past | Accepting new patients |
| Winston Eye Associates OD PA | Optometrist | Past | Accepting new patients |
Locations
312 Redfern Vlg
St Simons Island, GA 31522
Phone (912) 638-8652
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.
-
- Optometrist
- St Simons Island, GA
- NPI 1609893650
-
- Optometrist
- St Marys, GA
- NPI 1346390895
-
- Optometrist
- Portsmouth, VA
- NPI 1306933536
-
- Exclusive Provider Organization
- Virginia Beach, VA
- NPI 1275565269
-
- Optometrist
- Walkertown, NC
- NPI 1437284445
-
- Optometrist
- Kernersville, NC
- NPI 1730214727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1740315936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 REDFERN VLG",
"city": "ST SIMONS ISLAND",
"state": "GA",
"postal_code": "315222522",
"telephone_number": "912-638-8652",
"fax_number": "912-638-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 REDFERN VLG",
"city": "ST SIMONS IS",
"state": "GA",
"postal_code": "315222522",
"telephone_number": "912-638-8652",
"fax_number": "912-638-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREFTS",
"first_name": "SCOTT",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1881",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001641",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2639",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909293",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "093NE",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Simons Is, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.