Scott Lake is a Optometrist in Glendale, Arizona. Scott Lake practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Scott Lake is 1154587822. The last update date is 2021-09-21.
Scott Lake's current location address is 5707 W Northern Ave Ste 106, Glendale, Arizona. You can contact this provider via phone number 6025123299. The mailing address for Scott Lake is 5707 W Northern Ave Ste 106, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Lake |
|---|---|
| Address | 5707 W Northern Ave Ste 106, Glendale, Arizona |
| Phone Number | 6025123299 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1154587822 |
|---|---|
| Provider Enumeration Date | 2008-08-01 |
| Last Updated Date | 2021-09-21 |
Provider Mailing Address Detail
| Address | 5707 W Northern Ave Ste 106 |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853011355 |
| Phone Number | 6025123299 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2756 |
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Definition: 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 |
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What is the unique 10-digit identifier code issued to Scott Lake by the Centers for Medicare & Medicaid Services?
The Scott Lake has been assigned the NPI (National Provider Identifier) 1154587822 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Scott Lake located?
The Scott Lake is located at 5707 W Northern Ave Ste 106, Glendale, AZ 853011355.
What is the Scott Lake's specialty and taxonomy code?
The Scott Lake's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Scott Lake receive the assignment of its 1154587822 from the Centers for Medicare & Medicaid Services?
The Scott Lake was issued its 1154587822 by the Centers for Medicare & Medicaid Services on 2008-08-01.
When was the information regarding Scott Lake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Scott Lake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-09-21.
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