Individual provider Active NPI

Scott Eugene Nelsen, O.D.

  • Optometrist
  • Seal Beach, CA
National Provider Identifier
1841367323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7294T Issued in CA
Practice address
1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247
Phone
(562) 431-2031
Fax
(562) 594-0479
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7294T CA Primary

Addresses

Primary practice location

1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247

Mailing address

1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247
Phone (562) 431-2031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20120208000101 CA Practitioner - Optometry 2466557020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247
Phone (562) 431-2031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7294TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Apr 22, 2019 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

5092 Warner Ave
Huntington Beach, CA 92649
Phone (714) 816-4479

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

1190 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 431-2031

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841367323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 PACIFIC COAST HWY",
            "address_2": "SUITE E",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406247",
            "telephone_number": "562-431-2031",
            "fax_number": "562-594-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 PACIFIC COAST HWY",
            "address_2": "SUITE E",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406247",
            "telephone_number": "562-431-2031",
            "fax_number": "562-594-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "SCOTT",
        "middle_name": "EUGENE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7294T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.