Scot a. Wall, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SCOT A. WALL, MD, PC

Doing business as

Wall Eye Care Associates

Practice address

716 E 16TH Ave Ste C
Cordele, GA 31015-4517

Phone

(229) 273-2395

Fax

(229) 273-2393

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Scot A Wall X, M.D.

Title

President

Phone

(229) 888-2395

Specialties & licenses 2

Addresses

Other names 1

• Wall Eye Care Associates Doing business as

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1801923180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011324",
            "telephone_number": "229-888-2395",
            "fax_number": "229-438-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E 16TH AVE STE C",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154517",
            "telephone_number": "229-273-2395",
            "fax_number": "229-273-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOT A. WALL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-888-2395",
        "authorized_official_name_suffix": "X",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wall Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristiansson Roth, PH.D.
• Jack Bradley Royal, M.D.
• Sule A Salami, M.D.
• Franklin Alexy Saliba, CRNA
• Rebecca Sawyer
• Vishal Sharma, MD
• Joshua Singletary
• Brittney Leigh Singley, MSN, APRN, NP-C
• Jonathan Sinyard
• Candace Smith, FNP-C

• Ophthalmology Physician in Cordele, GA
• Providers in Cordele, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.