Individual provider Active NPI

Scott M Corin, M.D.

  • Ophthalmology Physician
  • N Dartmouth, MA
National Provider Identifier
1962400911
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
74399 Issued in MA
Practice address
500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278
Phone
(508) 717-0270
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 74399 MA Primary

Addresses

Primary practice location

500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1278

Mailing address

232 Rock Odundee Rd
South Dartmouth, MA 02748-1428
Phone (508) 990-8199

Other identifiers 1

IdentifierTypeStateIssuer
3081117MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000819 MA Practitioner - Ophthalmology 1254308844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Centers IncGroup PAC ID 8527052539, 15 clinicians

Practice addresses (Care Compare)

500 Faunce Corner Rd
Suite 110
N Dartmouth, MA 02747-1255
Phone 5087170270232

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery450
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Centers Inc Ophthalmology CurrentSince Jun 26, 1991 Accepting new patients
Dermatology Services ND Past Accepting new patients

Locations

500 Faunce Corner Rd
Ste 110
North Dartmouth, MA 02747
Phone (508) 717-0270

500 Faunce Corner Rd
Ste 1
North Dartmouth, MA 02747
Phone (508) 717-0270

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1962400911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 ROCK ODUNDEE RD",
            "city": "SOUTH DARTMOUTH",
            "state": "MA",
            "postal_code": "027481428",
            "telephone_number": "508-990-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FAUNCE CORNER RD",
            "address_2": "SUITE 110",
            "city": "N DARTMOUTH",
            "state": "MA",
            "postal_code": "027471278",
            "telephone_number": "508-717-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIN",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "74399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3081117",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Dartmouth, MA

Sources for this page

Verify at the official NPI Registry.