Physician Compare National (NPI:1942281530)

HEALTHCARE PROVIDER: JEREMY CHRISTOPHER SCOGGINS O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1942281530
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1355529801
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20120222000717
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCOGGINS
	Individual professional last name
Provider First Name	JEREMY
	Individual professional first name
Provider Middle Name	CHRISTOPHER
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	300 PLEASANT GROVE RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 600
	Group Practice or individual's line 2 address
City	MT JULIET
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	371223792
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6157735773
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y