Scott Robert Lewis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3587 Issued in WA

Practice address

19610 SE 1St St
Camas, WA 98607-7472

Phone

(360) 258-6234

Fax

(360) 258-6235

NPI assigned

Oct 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott R Lewis, OD, PLLCGroup PAC ID 1153590005, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Scott R Lewis, OD, PLLC

  • Optometrist
  • Camas, WA
  • NPI 1316233968
  Medicare reassignment Care Compare group NPD Authorized official
• John B Krebsbach

  • Optometrist
  • Hillsboro, OR
  • NPI 1114194552
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1801085576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19610 SE 1ST ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077472",
            "telephone_number": "360-258-6234",
            "fax_number": "360-258-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19610 SE 1ST ST",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077472",
            "telephone_number": "360-258-6234",
            "fax_number": "360-258-6235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SCOTT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3587",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2787ATI",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denice Lazzara
• Huong T Le, DMD
• Minh-Hao Le, PA-C
• Jung Lee
• Tara Lynn Lepro, LMT
• Zhenbo Li, L.AC., DIPL.C.H.
• Kayla Nicole Liehr, LMP
• Liem DO, Lacamas, LLC
• Annie Lian-Foong Liem, MD
• Lindner Gill DMD PLLC

• Optometrist in Camas, WA
• Providers in Camas, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.