Scott, Michael

Scott, Michael is an individual health care provider with primary practice located at 860 Summit Crossing Pl Ste 110 , Gastonia NC 28054-2217. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Scott, Michael can be contacted via phone (704) 865-3937.

Contact Information

Primary practice address
860 Summit Crossing Pl Ste 110 Gastonia NC 28054-2217
Phone: (704) 865-3937
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1142 North Carolina

Profile Details

NPI number 1740260686
LBN Legal business name Scott, Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Mar 14th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740260686 NPPES
North Carolina MEDICAID 8909816

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