Active NPI
Scott G McBride, OD
- Optometrist
- Midwest City, OK
National Provider Identifier
1851309751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OK1183
- Practice address
- 2813 Parklawn Dr
Midwest City, OK 73110-4201 - Phone
- (405) 732-4503
- Fax
- (405) 732-4504
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OK1183 | OK | Primary |
Addresses
Primary practice location
2813 Parklawn Dr
Midwest City, OK 73110-4201
Mailing address
2813 Parklawn Dr
Midwest City, OK 73110-4201
Phone (405) 732-4503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928001656 | OK | Practitioner - Optometry | 8729104617 | Practice locations: Midwest City, OK |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OK1183 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851309751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 PARKLAWN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "405-732-4503",
"fax_number": "405-732-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 PARKLAWN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "405-732-4503",
"fax_number": "405-732-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "SCOTT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "OK1183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.