Jerny Scotty, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10648TG Issued in TX

Practice address

11044 Research Blvd Ste C100
Austin, TX 78759-5326

Phone

(512) 258-2020

Fax

(512) 258-7835

NPI assigned

Aug 8, 2022

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

Enrolled in TX

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McCormick Vision PCGroup PAC ID 5193004083, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• McCormick Vision PC

  • Optometrist
  • Austin, TX
  • NPI 1285187377
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1831827989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11044 RESEARCH BLVD STE C100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595326",
            "telephone_number": "512-258-2020",
            "fax_number": "512-258-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11044 RESEARCH BLVD STE C100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595326",
            "telephone_number": "512-258-2020",
            "fax_number": "512-258-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTY",
        "first_name": "JERNY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10648TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sienna Scott, OTR/L
• Stephanie Dianne Scott, CD(DONA, TOLABOR)
• Stephanie Renee Scott, M.S., LPC, NCC
• Taylor Scott, FNP
• Wysonda Victoria Scott, LCSW-S
• Scout Audiology, PLLC
• Anne Rose Scovell, PT
• Heather Michelle Scranton, PA-C, RD
• Katelyn Samantha Scranton
• Joseph Scroggins

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.