Active NPI
Jacqueline Jordan Scott, MD
- Ophthalmology Physician
- Brandon, FL
National Provider Identifier
1821020470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME94417
- Practice address
- 1463 Oakfield Dr
Suite 113
Brandon, FL 33511 - Phone
- (813) 684-2211
- Fax
- (813) 685-0895
- NPI assigned
- Jul 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME94417 | FL | Primary |
Addresses
Primary practice location
1463 Oakfield Dr
Suite 113
Brandon, FL 33511
Mailing address
9329 Deer Creek Dr
Tampa, FL 33647
Phone (813) 684-2211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME94417 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon Eye Associates PA | Ophthalmology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Brandon, FL
- NPI 1215969357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821020470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9329 DEER CREEK DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "33647",
"telephone_number": "813-684-2211",
"fax_number": "813-685-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1463 OAKFIELD DR",
"address_2": "SUITE 113",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "813-684-2211",
"fax_number": "813-685-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "JACQUELINE",
"middle_name": "JORDAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME94417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.