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NPI Code Detail

MEDICARE: DR. MATTHEW L SCOTT O.D.

MEDICARE:  DR. MATTHEW L 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
1152W00000XOptometrist2374OK
2152W00000XOptometrist1630KS
3152W00000XOptometrist0003040CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410049616OTHEROKRR MEDICARE
5P00278572OTHEROKRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
44706790001OTHEROKDMERC

General Provider Information

NPI Number : 1932105467
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW L SCOTT O.D.
Provider Business Mailing Address
First Line : PO BOX 3179
Second Line :
City : BUENA VISTA
State : CO
Zip : 81211-3179
Country : US
Telephone Number : 719-581-4060
Fax Number : 719-631-2577
Provider Business Practice Location Address
First Line : 421 HWY 24 S
Second Line :
City : BUENA VISTA
State : CO
Zip : 81211-3179
Country : US
Telephone Number : 719-581-4060
Fax Number : 719-631-2577
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 06/04/2015

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Directions to “ DR. MATTHEW L SCOTT O.D.” Practice Location

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