Individual provider Active NPI

Scott Alan McSpadden, O.D.

  • Optometrist
  • Monett, MO
National Provider Identifier
1992068050
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2012019979 Issued in MO
Practice address
215 4TH St
Monett, MO 65708-2314
Phone
(417) 235-2020
Fax
(417) 235-5508
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 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 2012019979 MO Primary

Addresses

Primary practice location

215 4TH St
Monett, MO 65708-2314

Mailing address

PO Box 460
Monett, MO 65708-0460
Phone (417) 235-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20121008000404 MO Practitioner - Optometry 8527217512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntress Visionhealth Associates LLCGroup PAC ID 4587706304, 5 clinicians

Practice addresses (Care Compare)

215 4TH St
Monett, MO 65708-2314
Phone (417) 235-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2012019979MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntress Visionhealth Associates LLC Optometrist CurrentSince Sep 4, 2012 Accepting new patients

Locations

215 4th St
Monett, MO 65708
Phone (417) 235-2020

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1992068050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657080460",
            "telephone_number": "417-235-2020",
            "fax_number": "417-235-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 4TH ST",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657082314",
            "telephone_number": "417-235-2020",
            "fax_number": "417-235-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSPADDEN",
        "first_name": "SCOTT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2012019979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

Verify at the official NPI Registry.