SCOTT F. HAGE (NPI# 1275510307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275510307 |
| Entity Type | Individual |
| Full Name | SCOTT F. HAGE |
| Credential | O.D. |
| Practice Address |
240 Riverside Dr Suite One Johnson City NY 13790-2732 |
| Practice Telephone | 6077292102 |
| Practice Fax Number | 6077292034 |
| Mailing Telephone | 6077292102 |
| Mailing Fax Number | 6077292034 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2015-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV0044181 | NY | Eye and Vision Services Providers |
| Street Address |
240 RIVERSIDE DR SUITE ONE |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780101956 | Molly Ursula Feeney | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2017-08-28 |
| 1184173536 | Tyler Rathmell | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2016-09-27 |
| 1710369426 | Kord Williams | Nurse Practitioner | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2015-06-18 |
| 1467832444 | Utsav Hanspal | Family Medicine | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2015-06-04 |
| 1922362672 | Endwell Family Physicians LLP | Family Medicine | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2012-06-27 |
| 1548521610 | Southern Tier Physical Therapy of Johnson City | Specialist | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2012-06-05 |
| 1487929691 | Karli Rena Campbell | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2012-03-21 |
| 1841433422 | Robert Thomas Vangorder | Orthopaedic Surgery | 240 Riverside Dr, Tier Orthopaedics Associates, Johnson City, NY 13790-2732 | 2009-04-13 |
| 1275786618 | Mindi Anne Donahue | Physician Assistant | 240 Riverside Dr, Johnson City, NY 13790-2732 | 2008-10-29 |
| 1730343955 | Southern New York Physical Therapy & Chiropractic, Pllc | Physical Therapist | 240 Riverside Dr, Suite 4, Johnson City, NY 13790-2732 | 2008-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043876295 | Zachary Long | Optometrist | 3211 Peoples St Ste 55, Johnson City, TN 37604-4109 | 2019-05-14 |
| 1528541141 | Berg & Florio Od Pa Johnson City | Optometrist | 213 S Highway 281, Suite A, Johnson City, TX 78636 | 2018-09-10 |
| 1013444264 | Sarah Rose Elmore | Optometrist | 2011 N Roan St Ste E6, Johnson City, TN 37601-3122 | 2017-05-18 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1689812125 | Senior Eye Care of Johnson City LLC | Optometrist | 7 Horseshoe Bnd, Johnson City, TN 37604-7185 | 2009-01-21 |
| 1104097815 | Cox Vision Center PC | Optometrist | 1207 N Roan Street, Johnson City, TN 37601 | 2008-03-20 |
| 1801075346 | Dr. J. Scott Gentry, O.d., P.c | Optometrist | 301 Montgomery St, Johnson City, TN 37604-5629 | 2007-11-01 |
| 1134312358 | Dr Richard A Rosenberg, Od | Optometrist | 302 Sunset Drive, Ste 109, Johnson City, TN 37604-9999 | 2007-08-21 |
| 1104017912 | Andrew R. Schwichtenberg | Optometrist | 2829 E Oakland Ave Ste 1, Johnson City, TN 37601-1908 | 2007-08-06 |
| 1326117136 | James Milton Otis | Optometrist | 3111 Browns Mill Road, Johnson City, TN 37604 | 2006-11-07 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.