Individual provider Active NPI

Scott Amestoy, O.D.

  • Optometrist
  • Fairbanks, AK
National Provider Identifier
1760767818
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
356 Issued in AK
Practice address
2555 Phillips Field Rd
Fairbanks, AK 99709-3933
Phone
(907) 328-2920
NPI assigned
Oct 19, 2011
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 356 AK Primary

Addresses

Primary practice location

2555 Phillips Field Rd
Fairbanks, AK 99709-3933

Mailing address

2555 Phillips Field Rd.
Fairbanks, AK 99709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20200707000049 MT Practitioner - Optometry 9739401555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Eyecare LLPGroup PAC ID 9537151451, 6 clinicians

Practice addresses (Care Compare)

550 N Montana Ave
Helena, MT 59601-3815
Phone (406) 443-2121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Eyecare LLP Optometrist CurrentSince Aug 1, 2020 Accepting new patients

Locations

550 N Montana Ave
Helena, MT 59601
Phone (406) 443-2121

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1760767818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD.",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "99709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 PHILLIPS FIELD RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093933",
            "telephone_number": "907-328-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMESTOY",
        "first_name": "SCOTT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.