Individual provider Active NPI

Megan Sabrina Scott

  • Optometrist
  • Grand Rapids, MI
National Provider Identifier
1760222160
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005816 Issued in MI
Practice address
6748 Kalamazoo Ave SE
Grand Rapids, MI 49508-7032
Phone
(616) 275-2020
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005816 MI Primary

Addresses

Primary practice location

6748 Kalamazoo Ave SE
Grand Rapids, MI 49508-7032

Mailing address

6748 Kalamazoo Ave SE
Grand Rapids, MI 49508-7032
Phone (616) 275-2020

Other practice location 1

11301 Commerce Dr Ste A
Allendale, MI 49401-8200
Phone (955) 061-6895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240702004429 MI Practitioner - Optometry 3072057975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allendale Eye Care, LLCGroup PAC ID 1355430349, 3 clinicians

Practice addresses (Care Compare)

11301 Commerce Dr
Suite a
Allendale, MI 49401-8200
Phone (616) 895-9550

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901005816MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allendale Eye Care, LLC Optometrist CurrentSince Jun 3, 2024 Accepting new patients

Locations

11301 Commerce Dr
Ste A
Allendale, MI 49401
Phone (616) 895-9550

Organizations & group practices 1

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1760222160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6748 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087032",
            "telephone_number": "616-275-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6748 KALAMAZOO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087032",
            "telephone_number": "616-275-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11301 Commerce Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Allendale",
            "state": "MI",
            "postal_code": "494018200",
            "country_code": "US",
            "telephone_number": "955-061-6895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MEGAN",
        "middle_name": "SABRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.