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NPI Code Detail

MEDICARE: DAVID E SCOTT O.D.

MEDICARE:   DAVID E SCOTT  O.D.
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
1332H00000XEyewear Supplier
2152W00000XOptometrist1597DPATIA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609874536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID E SCOTT O.D.
Provider Business Mailing Address
First Line : 6004 SW 9TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50315-5011
Country : US
Telephone Number : 515-287-0820
Fax Number : 515-287-0938
Provider Business Practice Location Address
First Line : 6004 SW 9TH ST
Second Line :
City : DES MOINES
State : IA
Zip : 50315-5011
Country : US
Telephone Number : 515-287-0820
Fax Number : 515-287-0938
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/10/2012

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Directions to “ DAVID E SCOTT O.D.” Practice Location

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