Scott D Doherty, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA 2557 Issued in MD

Practice address

2023 Pulaski Hwy
Havre de Grace, MD 21078-2137

Phone

(410) 939-6477

NPI assigned

Aug 2, 2016

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard L Silver OD PC Stacey Sumnerprofessional Visioncare AssociatesGroup PAC ID 0143381467, 3 clinicians

Silver OD PC and Taketa OD PC a Partnership of Opt CorpGroup PAC ID 6204722762, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard L Silver OD PC Stacey Sumnerprofessional Visioncare Associates

  • Optometrist
  • Sherman Oaks, CA
  • NPI 1992749287
  Medicare reassignment Care Compare group NPD
• Silver OD PC & Taketa OD PC a Partnership of Opt Corp

  • Optometrist
  • Santa Monica, CA
  • NPI 1114948866
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1740733179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BUTTONWOODS RD",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 PULASKI HWY",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782137",
            "telephone_number": "410-939-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "SCOTT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dhow Business Group
• Mamadou Sadio Diallo, FNP
• Diy Wellness, Discovering the Individual in You, LLC
• Diy Wellness, Discovering the Individual in You, LLC
• Rebecca Garin Dizon, D.D.S.
• Daion Donaldson
• Dresnick Sterling Emergency Physicians of Maryland PA
• DRS Biondo & Sim PA (Union Medical Clinic PA)
• DRS Campanella & Olivacz PA (Havre de Grace Chiropractic)
• Julie L. Ducharme, MD

• Optometrist in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.

Verify at the official NPI Registry.