Individual provider Active NPI

Scott K Sather, OD

  • Optometrist
  • Marquette, MI
National Provider Identifier
1861471427
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003775 Issued in MI
Practice address
622 N 3Rd St
Marquette, MI 49855-3520
Phone
(906) 226-8800
Fax
(906) 226-8802
NPI assigned
Jan 12, 2006
Last updated
May 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003775 MI Primary

Addresses

Primary practice location

622 N 3Rd St
Marquette, MI 49855-3520

Mailing address

622 N 3Rd St
Marquette, MI 49855-3520
Phone (906) 226-8800

Other identifiers 3

IdentifierTypeStateIssuer
410027840OtherMIPALMETTO MEDICARE
MOE2650OtherMIBCBS OF MI
3179850MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040527000054 MI Practitioner - Optometry 6002897840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stang Family Eyecare PCGroup PAC ID 1254432115, 3 clinicians

Practice addresses (Care Compare)

622 N 3Rd St
Marquette, MI 49855-3520
Phone (906) 226-8800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003775MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stang Family Eyecare PC Optometrist CurrentSince Dec 7, 2016 Accepting new patients

Locations

622 N 3rd St
Marquette, MI 49855
Phone (906) 226-8800

Organizations & group practices 1

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": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1861471427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553520",
            "telephone_number": "906-226-8800",
            "fax_number": "906-226-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 N 3RD ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553520",
            "telephone_number": "906-226-8800",
            "fax_number": "906-226-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATHER",
        "first_name": "SCOTT",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE",
            "identifier": "410027840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "MOE2650",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3179850",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.