DR. ROGER W SCOTT JR. (NPI# 1831185867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831185867 |
| Entity Type | Individual |
| Full Name | DR. ROGER W SCOTT JR. |
| Credential | O.D. |
| Practice Address |
4075 Marietta Hwy 110 Dallas GA 30157-3315 |
| Practice Telephone | 7704459866 |
| Practice Fax Number | 7704458244 |
| Mailing Telephone | 7704459866 |
| Mailing Fax Number | 7704458244 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1253 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000521881A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275730319 | Roger David Scott | Independent Medical Examiner | 1285 Kasamada Dr, Fort Myers, FL 33919-1622 | 2007-07-02 |
| 1821110552 | Roger W Scott | Dentist | 212 Oakridge Blvd, Daytona Beach, FL 32118-4030 | 2007-04-04 |
| 1992878540 | Roger W Scott | Chiropractor | 1340 Lake Ave, Rochester, NY 14613-1244 | 2006-11-15 |
| 1962421362 | Roger Paul Scott | Chiropractor | 27141 Baseline St Ste 5, Highland, CA 92346-3126 | 2006-07-18 |
| 1144210576 | Roger E Scott | Internal Medicine | 531 Mt Pleasant Dr, Scranton, PA 18503-1987 | 2005-10-26 |
| 1427486398 | Roger A Scott | Licensed Practical Nurse | 3550 Highway, 468 West, Whitfield, MS 39193-0157 | 2013-10-31 |
| 1306128905 | Roger Gregory Scott | Pharmacist | 19 N Main St, Sherborn, MA 01770-1553 | 2011-09-09 |
| 1467480384 | Roger Donald Scott | Physician Assistant | 725 S Dobson Rd, Suite 200, Chandler, AZ 85224-5680 | 2006-06-29 |
| Street Address |
4075 MARIETTA HWY 110 |
| City | DALLAS |
| State | GA |
| Zip Code | 30157-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608629 | Harshadbhai Vinubhai Patel | Pharmacist | 3615 Marietta Highway, Dallas, GA 30157 | 2020-10-30 |
| 1043852627 | Lindsay Sheets | Dentist | 59 Hillside Trce Ste 105, Dallas, GA 30157 | 2019-10-15 |
| 1619459062 | Emily Nicole Koopman | Specialist/Technologist | 399 Powder Creek Way, Dallas, GA 30157 | 2018-09-02 |
| 1073969861 | Rachel Spencer | Physical Therapist | 99 Hillside Trace, Dallas, GA 30157 | 2016-05-11 |
| 1336514827 | Petal Shields | Community Health Worker | 121 Omega Ct, Dallas, GA 30157 | 2015-12-09 |
| 1851797294 | Annette Moncion | Nurse Practitioner | 32 Midland Lane, Dallas, GA 30157 | 2014-11-12 |
| 1003211079 | Melissa Brice | Lactation Consultant, Non-RN | 430 Parson Rd, Dallas, GA 30157 | 2014-11-03 |
| 1104101690 | Jared Alan Lott | Pharmacist | 303 Charlie Watts Blvd, Dallas, GA 30157 | 2011-10-15 |
| 1972888758 | Lisa Nicole Mcentire | Massage Therapist | 119 Fairview Oak Trace, Dallas, GA 30157 | 2011-10-12 |
| 1548570120 | Chad Stough | Physician Assistant | 2713 Marietta Highway, Suite 122, Dallas, GA 30157 | 2010-10-15 |
| Find all providers in zip 30157 | ||||
| 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 |
|---|---|---|---|---|
| 1184221103 | Mel Vision LLC | Optometrist | 6471 E Northwest Hwy Ste 130, Dallas, TX 75231-8007 | 2020-10-02 |
| 1447872270 | James M Chin Pllc | Optometrist | 8041 Walnut Hill Ln # 817, Dallas, TX 75231-4332 | 2020-05-14 |
| 1073158192 | Med Southwest, Pllc | Optometrist | 11888 Marsh Ln Ste 114, Dallas, TX 75234-8083 | 2019-11-13 |
| 1053956185 | Med Southwest, Pllc | Optometrist | 5455 Belt Line Rd # 151, Dallas, TX 75254-1517 | 2019-11-13 |
| 1043867526 | Ht Optometry Pllc | Optometrist | 1201 Elm St Ste Ll20, Dallas, TX 75270-2029 | 2019-08-20 |
| 1396399721 | Libra Optometry Pa | Optometrist | 7859 Walnut Hill Ln Ste 185, Dallas, TX 75230-5605 | 2019-07-24 |
| 1841755212 | John Stuart Jr. | Optometrist | 12820 Hillcrest Rd Ste 100, Dallas, TX 75230-1516 | 2019-02-09 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1265911663 | Jasmine Theresa Hayes | Optometrist | 2959 S Buckner Blvd Ste 700, Dallas, TX 75227-6950 | 2018-08-07 |
| 1306332226 | Lindsey Bank | Optometrist | 8611 Hillcrest Ave Ste 140, Dallas, TX 75225-4217 | 2018-07-03 |
| Find all providers in DALLAS | ||||
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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.