Roger W Scott Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1253 Issued in GA

Practice address

4075 Marietta Hwy
110
Dallas, GA 30157-3315

Phone

(770) 445-9866

Fax

(770) 445-8244

NPI assigned

Sep 26, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Pennsylvania College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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 Eye Clinic

  • Ophthalmologic Surgery Clinic/Center
  • Dallas, GA
  • NPI 1972734226
  NPD (past) Authorized official

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1831185867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 MARIETTA HWY",
            "address_2": "110",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573315",
            "telephone_number": "770-445-9866",
            "fax_number": "770-445-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 MARIETTA HWY",
            "address_2": "110",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573315",
            "telephone_number": "770-445-9866",
            "fax_number": "770-445-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ROGER",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000521881A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therese Scannell, MPT
• Laura Schell, PT
• Ashleigh Schinina, CSFA
• Jackie Lynn Schumaker, CSFA
• Scott Eye Clinic
• Trevor Scott, PTA
• Deborah Noel Scrimo, LPC
• Nisa Janai Seals, LMSW
• Ashburn P Searcy, MD
• Second Chance Or More Counseling Services

• Optometrist in Dallas, GA
• Providers in Dallas, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.