Active NPI
Eric William Scofield, OPTICIAN
- Optician
- Duluth, MN
National Provider Identifier
1750549259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 324 W Superior St
Duluth, MN 55802-1701 - Phone
- (218) 722-1477
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | MN | Primary |
Addresses
Primary practice location
324 W Superior St
Duluth, MN 55802-1701
Mailing address
324 W Superior St
Lobby
Duluth, MN 55802-1701
Phone (218) 722-1477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 882828800 | Medicaid | MN | |
| 2122930 | Other | MN | MEDICA MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1750549259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST",
"address_2": "LOBBY",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021701",
"telephone_number": "218-722-1477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 W SUPERIOR ST",
"city": "DULUTH",
"state": "MN",
"postal_code": "558021701",
"telephone_number": "218-722-1477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOFIELD",
"first_name": "ERIC",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "882828800",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA MEDICAID",
"identifier": "2122930",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.