SCOTT EYE CLINIC (NPI# 1972734226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972734226 |
| Entity Type | Organization |
| Organization Name | SCOTT EYE CLINIC |
| Other Organization Name | SCOTT EYE CLINIC |
| Practice Address |
4075 Marietta Hwy Ste 110 Dallas GA 30157-3317 |
| Practice Telephone | 7704459866 |
| Practice Fax Number | 7704458244 |
| Mailing Telephone | 7704459866 |
| Mailing Fax Number | 7704458244 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |
| Authorized Official Name | DR. ROGER WILKIN SCOTT JR. (OPTOMETRIST) |
| Authorized Official Telephone | 7704459866 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
1253 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Scott Eye Clinic | Doing Business As Name - Organization |
| Street Address |
4075 MARIETTA HWY STE 110 |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386199545 | The Cataract Vision Institute LLC | Clinic/Center | 14160 Dallas Pkwy, Suite 100, Dallas, TX 75254-4319 | 2016-08-17 |
| 1134365505 | Vision Quest Laser Center, Ltd | Clinic/Center | 5421 La Sierra Dr, Dallas, TX 75231-4107 | 2009-01-06 |
| 1437273745 | Infinity Laser Vision | Clinic/Center | 6446 Lyndon B Johnson Fwy, Dallas, TX 75240-6407 | 2007-03-19 |
| 1700838190 | Walnut Hill Surgery Center, LLC | Clinic/Center | 5494 Glen Lakes Dr, Dallas, TX 75231-4308 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298457 | Northeast Georgia Ophthalmology, LLC | Clinic/Center | 1498 Jesse Jewell Pkwy Se Ste B, Gainesville, GA 30501-3874 | 2020-06-08 |
| 1033755319 | Regional Surgical Specialists, LLC | Clinic/Center | 210 E Lamar St, Americus, GA 31709-3657 | 2019-11-21 |
| 1114251402 | New Hope Eye Center, LLC | Clinic/Center | 2070 Pleasant Hill Rd, Suite 100, Duluth, GA 30096-4659 | 2009-09-21 |
| 1780820381 | Seaside Surgical, LLC | Clinic/Center | 3303 B Glynn Avenue, Brunswick, GA 31520 | 2009-01-02 |
| 1558407775 | Lca-vision Inc | Clinic/Center | 3175 Satellite Blvd Ste 600, Suite 175, Duluth, GA 30096-9042 | 2007-01-29 |
| 1912052754 | Lca-vision Inc | Clinic/Center | 1 Buckhead Loop, Ste 225, Atlanta, GA 30326 | 2007-01-24 |
| 1386798650 | Lca-vision Inc. | Clinic/Center | 5530 Windward Pkwy, Suite 420, Alpharetta, GA 30004-8969 | 2007-01-23 |
| 1104987957 | Eye Surgery Center of Augusta, LLC | Clinic/Center | 3658 J Dewey Gray Cir, Augusta, GA 30909-6424 | 2006-12-13 |
| 1689643322 | Eye Surgery Center of Albany, LLC | Clinic/Center | 2308 Palmyra Road, Albany, GA 31701-1324 | 2006-03-15 |
| 1295714962 | Schulze Surgery Center, Inc. | Clinic/Center | 728 E 67th St, Savannah, GA 31405-4608 | 2006-01-11 |
| Find all providers with the same taxonomy | ||||
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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.