Ricky Dean Scogin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

LA1023144T Issued in LA

Practice address

1025 Glenwood Dr
West Monroe, LA 71291-5501

Phone

(318) 322-6038

Fax

(318) 322-5217

NPI assigned

Aug 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Feb 2, 2017 through Feb 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811003916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 W DEBORAH DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012002",
            "telephone_number": "318-387-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 GLENWOOD DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915501",
            "telephone_number": "318-322-6038",
            "fax_number": "318-322-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGIN",
        "first_name": "RICKY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "LA1023144T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Lee Scallan, MA LPC , NCC
• Whitney Joanne Scallan, APRN-C, FNP
• Hannah Elizabeth Schooley
• Jarrod Schooley, PA
• Jonathan Erik Scogin, O.D.
• Lewis King Scott, D.D.S.
• Skyelar Michelle Scott
• Steven Scott
• Mildred Nichole Searcy, MS
• Serenity Care Providers, LLC

• Optometrist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.