MEDICARE: DR. RICK SCOTT ADAMS OD

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	152W00000X	Optometrist	1175	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09024	OTHER	NC	BCBS PIN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649241753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICK SCOTT ADAMS OD

Provider Business Mailing Address
First Line	:	3044 SUNSET AVE
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-3647
Country	:	US
Telephone Number	:	252-443-7011
Fax Number	:	252-443-6013

Provider Business Practice Location Address
First Line	:	3044 SUNSET AVE
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-3647
Country	:	US
Telephone Number	:	252-443-7011
Fax Number	:	252-443-6013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	06/26/2008

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