MEDICARE: SCOTT L. NEHRING, O.D., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier
2	152W00000X	Optometrist	1650AT	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	DD1809	OTHER	OR	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	858259000	OTHER	OR	REGENCE BLUE CROSS BLUE S

General Provider Information

NPI Number	:	1326023821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT L. NEHRING, O.D., P.C.

Provider Business Mailing Address
First Line	:	590 GLATT CIR
Second Line	:
City	:	WOODBURN
State	:	OR
Zip	:	97071-9675
Country	:	US
Telephone Number	:	503-982-3937
Fax Number	:	503-982-5438

Provider Business Practice Location Address
First Line	:	590 GLATT CIR
Second Line	:
City	:	WOODBURN
State	:	OR
Zip	:	97071-9675
Country	:	US
Telephone Number	:	503-982-3937
Fax Number	:	503-982-5438

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SCOTT LEONARD NEHRING
Credential	:	O.D.
Telephone Number	:	503-982-3937

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	05/15/2020

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Directions to “SCOTT L. NEHRING, O.D., P.C. ” Practice Location

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