Individual provider Active NPI

Scott Richard Earle, O.D.

  • Corneal and Contact Management Optometrist
  • Poughkeepsie, NY
National Provider Identifier
1851338933
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
TUV006869 Issued in NY
Practice address
488 Freedom Plains Rd
Suite 137
Poughkeepsie, NY 12603-2689
Phone
(845) 471-7400
Fax
(845) 471-7531
NPI assigned
May 31, 2006
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X TUV006869 NY Primary
Pediatric Optometrist 152WP0200X S-971-TA-533 AL

Addresses

Primary practice location

488 Freedom Plains Rd
Suite 137
Poughkeepsie, NY 12603-2689

Mailing address

488 Freedom Plains Rd
Box 1
Poughkeepsie, NY 12603-2689
Phone (845) 592-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060817000117 NY Practitioner - Optometry 1052314853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Birmingham Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

488 Freedom Plains Rd
Suite 137
Poughkeepsie, NY 12603-2693
Phone (845) 471-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006869NYMDCorneal and Contact Management Optometrist
S-971-TA-533ALMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Earle, O.D., P.C. CurrentSince Mar 1, 2006 Accepting new patients
Clinic for Vision PC Past Accepting new patients

Locations

488 Freedom Plains Rd
Ste 137
Poughkeepsie, NY 12603
Phone (845) 471-7400

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1851338933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 FREEDOM PLAINS RD",
            "address_2": "BOX 1",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032689",
            "telephone_number": "845-592-0123",
            "fax_number": "845-471-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 FREEDOM PLAINS RD",
            "address_2": "SUITE 137",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032689",
            "telephone_number": "845-471-7400",
            "fax_number": "845-471-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLE",
        "first_name": "SCOTT",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV006869",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "AL",
            "license": "S-971-TA-533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.