Organization Active NPI

Gina R Scott OD LLC

  • Optometrist
  • Arab, AL
National Provider Identifier
1881979268
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-823-TA-158 Issued in AL
Legal business name
GINA R SCOTT OD LLC
Practice address
72 Briar LN
Arab, AL 35016-4156
Phone
(256) 558-5996
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Gina Rutledge Scott, OD
Title
Owner
Phone
(256) 558-5996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-823-TA-158 AL Primary

Addresses

Primary practice location

72 Briar LN
Arab, AL 35016-4156

Mailing address

72 Briar LN
Arab, AL 35016-4156

National Provider Directory

National Provider Directory

Locations

5968 Wall Triana Hwy
Madison, AL 35757
Phone (256) 430-8417

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1881979268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BRIAR LN",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350164156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BRIAR LN",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350164156",
            "telephone_number": "256-558-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA R SCOTT OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "RUTLEDGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-558-5996",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-823-TA-158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arab, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.