Scott M Page, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001654 Issued in PA

Practice address

1015 Chestnut Street
Suite 417
Phila, PA 19107-4316

Phone

(215) 627-4448

Fax

(215) 627-5798

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942315676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT STREET",
            "address_2": "SUITE 417",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191074316",
            "telephone_number": "215-627-4448",
            "fax_number": "215-627-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHESTNUT STREET",
            "address_2": "SUITE 417",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191074316",
            "telephone_number": "215-627-4448",
            "fax_number": "215-627-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "0062224000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "30037",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0736650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Orso, CRNP
• Tristan M Ortiz, CRNP
• Maren Oser, CNM
• Outside Services LLC
• Barry Packman, MD
• Jeanette Anne Pailas, M.A./A.T.R.-L.P.C.
• Dean V Papoutsis, M.D.
• Diane Pappas-Sfedu II
• Romell Parham, MSS
• Eunhee Park

• Optometrist in Phila, PA
• Providers in Phila, PA by specialty
• Optometrist in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.