Individual provider Active NPI

Scott J. Tucci, OD

  • Optometrist
  • Wilmington, DE
National Provider Identifier
1902883895
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001164 Issued in PA
Practice address
5301 Limestone Rd
Suite 128
Wilmington, DE 19808-1250
Phone
(302) 239-1933
NPI assigned
Dec 30, 2005
Last updated
Jun 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001164 PA Primary

Addresses

Primary practice location

5301 Limestone Rd
Suite 128
Wilmington, DE 19808-1250

Mailing address

5301 Limestone Rd
Suite 128
Wilmington, DE 19808-1250
Phone (302) 239-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040702000034 PA Practitioner - Optometry 9133106636 Reassigns benefits to 1 organization
I20120510000348 DE Practitioner - Optometry 9133106636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

1367 Dilworthtown Xing
West Chester, PA 19382-8266
Phone (302) 239-1933

5301 Limestone Rd
Wilmington, DE 19808-1253
Phone (302) 239-1933

912 N Union St
Wilmington, DE 19805-5326
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG001164PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Mar 31, 2012 Accepting new patients
Dr. Gary Andrus and Associates, PC Optometrist Past Accepting new patients

Locations

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

1367 Dilworthtown Xing
West Chester, PA 19382

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": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1902883895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 LIMESTONE RD",
            "address_2": "SUITE 128",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081250",
            "telephone_number": "302-239-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 LIMESTONE RD",
            "address_2": "SUITE 128",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081250",
            "telephone_number": "302-239-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCCI",
        "first_name": "SCOTT",
        "middle_name": "J.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.