Individual provider Active NPI

Scott A. Trefts, O.D.

  • Optometrist
  • St Simons Is, GA
National Provider Identifier
1740315936
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2639 Issued in GA
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

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8909293MedicaidNC
093NEOtherNCBLUECROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000252 GA Practitioner - Optometry 7113908377 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Cataract surgery38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2639GAMDOptometrist
1881NCMDOptometrist
0618001641VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Eye Care LLC Optometrist CurrentSince Nov 18, 2022 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.

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

Verify at the official NPI Registry.