Scott D. Clough, OD , PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2165 Issued in FL

Legal business name

SCOTT D. CLOUGH, OD , PA

Practice address

10041 US Highway 19 Ste a
Port Richey, FL 34668-3785

Phone

(727) 859-9009

Fax

(727) 868-0819

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Scott D Clough

Title

President

Phone

(727) 255-2039

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1801169586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13837 KING AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671329",
            "telephone_number": "727-255-2039",
            "fax_number": "727-868-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10041 US HIGHWAY 19 STE A",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346683785",
            "telephone_number": "727-859-9009",
            "fax_number": "727-868-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D. CLOUGH, OD , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-255-2039"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC  2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001528000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.