Scott Eye Clinic

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

1253 Issued in GA

Legal business name

SCOTT EYE CLINIC

Doing business as

Scott Eye Clinic

Practice address

4075 Marietta Hwy Ste 110
Dallas, GA 30157-3317

Phone

(770) 445-9866

Fax

(770) 445-8244

NPI assigned

Aug 4, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Roger Wilkin Scott Jr., O.D.NPI 1831185867

Title

Optometrist

Phone

(770) 445-9866

Specialties & licenses 1

Addresses

Other names 1

• Scott Eye Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger W Scott Jr., O.D.

  • Optometrist
  • Dallas, GA
  • NPI 1831185867
  NPD (past) Authorized official

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1972734226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 MARIETTA HWY STE 110",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573317",
            "telephone_number": "770-445-9866",
            "fax_number": "770-445-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 MARIETTA HWY STE 110",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301573317",
            "telephone_number": "770-445-9866",
            "fax_number": "770-445-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILKIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-445-9866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "GA",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Edward Scalf
• Therese Scannell, MPT
• Laura Schell, PT
• Ashleigh Schinina, CSFA
• Jackie Lynn Schumaker, CSFA
• Roger W Scott Jr., O.D.
• Trevor Scott, PTA
• Deborah Noel Scrimo, LPC
• Nisa Janai Seals, LMSW
• Ashburn P Searcy, MD

• Ophthalmologic Surgery Clinic/Center in Dallas, GA
• Providers in Dallas, GA by specialty
• Ophthalmologic Surgery Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.