Individual provider Active NPI

Scott James Caughell, O.D.

  • Optometrist
  • Warsaw, IN
National Provider Identifier
1982634606
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003414A Issued in IN
Practice address
2250 North Pointe Dr
Suite a
Warsaw, IN 46582-9042
Phone
(574) 267-3515
NPI assigned
Jul 5, 2006
Last updated
May 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003414A IN Primary
Pediatric Optometrist 152WP0200X 18003414A IN
Vision Therapy Optometrist 152WV0400X 18003414A IN

Addresses

Primary practice location

2250 North Pointe Dr
Suite a
Warsaw, IN 46582-9042

Mailing address

2250 N Pointe Dr
Warsaw, IN 46582-9042
Phone (574) 267-3515

Other identifiers 1

IdentifierTypeStateIssuer
200859820AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000053 IN Practitioner - Optometry 1456350719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians

Practice addresses (Care Compare)

2250 N Pointe Dr
Warsaw Family Eyecare
Warsaw, IN 46582-9042
Phone (574) 267-3515

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003414AINMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Indiana Professional PC Optometrist CurrentSince Jul 27, 2022 Accepting new patients
Indiana University Past Accepting new patients

Locations

2250 N Pointe Dr
Warsaw, IN 46582
Phone (574) 267-3515

2250 N Pointe Dr
Ste A
Warsaw, IN 46582
Phone (574) 267-3515

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1982634606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 N POINTE DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829042",
            "telephone_number": "574-267-3515",
            "fax_number": "574-267-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 NORTH POINTE DR",
            "address_2": "SUITE A",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465829042",
            "telephone_number": "574-267-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUGHELL",
        "first_name": "SCOTT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003414A",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IN",
            "license": "18003414A",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IN",
            "license": "18003414A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200859820A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

Verify at the official NPI Registry.