Active NPI
Scott F Hage OD
- Durable Medical Equipment & Medical Supplies
- Johnson City, NY
National Provider Identifier
1770753576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- TUV0044181
- Legal business name
- SCOTT F HAGE OD
- Practice address
- 240 Riverside Dr
Suite One
Johnson City, NY 13790-2732 - Phone
- (607) 729-2102
- Fax
- (607) 729-2034
- NPI assigned
- Mar 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott F Hage, OD
- Title
- Owner
- Phone
- (607) 729-2102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TUV0044181 | NY | Primary |
Addresses
Primary practice location
240 Riverside Dr
Suite One
Johnson City, NY 13790-2732
Mailing address
240 Riverside Dr
Suite One
Johnson City, NY 13790-2732
Phone (607) 729-2102
National Provider Directory
National Provider DirectoryLocations
240 Riverside Dr
Ste One
Johnson City, NY 13790
Phone (607) 729-2102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436313600000",
"number": "1770753576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 RIVERSIDE DR",
"address_2": "SUITE ONE",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902732",
"telephone_number": "607-729-2102",
"fax_number": "607-729-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 RIVERSIDE DR",
"address_2": "SUITE ONE",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902732",
"telephone_number": "607-729-2102",
"fax_number": "607-729-2034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT F HAGE OD",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2015-07-08",
"status": "A",
"authorized_official_last_name": "HAGE",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "607-729-2102",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NY",
"license": "TUV0044181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.