Individual provider Active NPI

Scott Charles Neuman, O.D.

  • Optometrist
  • Rawlins, WY
National Provider Identifier
1780776369
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
290T Issued in WY
Practice address
819 W Maple St
Rawlins, WY 82301-5462
Phone
(307) 324-2219
Fax
(307) 324-7398
NPI assigned
Sep 29, 2006
Last updated
Dec 13, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 290T WY Primary

Addresses

Primary practice location

819 W Maple St
Rawlins, WY 82301-5462

Mailing address

819 W Maple St
Rawlins, WY 82301-5462
Phone (307) 324-2219

Other identifiers 3

IdentifierTypeStateIssuer
313114OtherWYBLUE CROSS BLUE SHIELD
P00162043OtherWYRAILROAD MEDICARE
120162000MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2020 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1780776369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015462",
            "telephone_number": "307-324-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W MAPLE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015462",
            "telephone_number": "307-324-2219",
            "fax_number": "307-324-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMAN",
        "first_name": "SCOTT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "290T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "313114",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00162043",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120162000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.