MR. SCOTT WAYNE LEWIS (NPI# 1265479281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265479281 |
| Entity Type | Individual |
| Full Name | MR. SCOTT WAYNE LEWIS |
| Credential | O.D. |
| Practice Address |
204 Bradford Ln Waterloo IL 62298-3267 |
| Practice Telephone | 6189396163 |
| Practice Fax Number | 6189396165 |
| Mailing Telephone | 6189396163 |
| Mailing Fax Number | 6189396165 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2007-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 046006990 1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164801619 | Scott Lewis | Dentist | 3409 W 12600 S Ste 100, Riverton, UT 84065-7266 | 2015-05-29 |
| 1033433289 | Scott Lewis | Physical Therapist | 701 18th Ave Nw, Suite 200, Austin, MN 55912-1850 | 2010-03-17 |
| 1801085576 | Scott Robert Lewis | Optometrist | 19610 Se 1st St, Camas, WA 98607-7472 | 2007-10-18 |
| 1609905736 | Scott James Lewis | Dentist | 5800 Bayshore Dr., Suite B248, Glendale, WI 53217-4536 | 2007-03-05 |
| 1376640664 | Scott A Lewis | Optometrist | 24400 Jackson Ave, Suite A, Murrieta, CA 92562 | 2006-09-20 |
| 1326143553 | Scott Mitchell Lewis | Psychiatry & Neurology | 1 Veterans Dr # 11b, Minneapolis, MN 55417-2309 | 2006-09-13 |
| 1790793875 | Scott Richard Lewis | Dentist | 300 N 2nd E, Rexburg, ID 83440-1604 | 2006-08-04 |
| 1255324299 | Scott Ryan Lewis | Optometrist | 2051 S Cole Rd, Boise, ID 83709-2815 | 2005-08-24 |
| 1821569963 | Scott Avery Lewis | Counselor | 1905 Continental Pl, Mount Vernon, WA 98273-5633 | 2018-12-16 |
| 1124516745 | Scott Marshall Lewis | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2018-04-30 |
| Street Address |
204 BRADFORD LN |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-3267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1841538733 | J.m. Tempel O.d. P.C. | Optometrist | 1952 Plymouth Ave, Waterloo, IA 50702-3524 | 2013-01-28 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1417113812 | Emily Halbur | Optometrist | 2018 Sears St, Waterloo, IA 50702-4401 | 2008-08-05 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| 1740234376 | Suzanne Renee Smith | Optometrist | 909 E San Marnan Dr, Waterloo, IA 50702-5611 | 2006-05-19 |
| 1619937133 | Iowa Eyecare Associates PC | Optometrist | 999 Home Plz, Suite 100, Waterloo, IA 50701-4822 | 2006-03-27 |
| 1114990116 | Robert L Toal Jr. | Optometrist | 742 North Market, Suite A, Waterloo, IL 62298 | 2006-02-09 |
| 1780654046 | Bradley Joseph Knox | Optometrist | 1030 Alabar Ave, Waterloo, IA 50701-3200 | 2006-01-26 |
| 1508848151 | Amy L Hartmann | Optometrist | 2515 Cyclone Dr, Waterloo, IA 50701-9746 | 2005-11-18 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.