Scott Lake, OD | |
5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 | |
(602) 512-3299 | |
Not Available |
Full Name | Scott Lake |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 16 Years |
Location | 5707 W Northern Ave Ste 106, Glendale, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154587822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 002756 (Connecticut) | Secondary |
152W00000X | Optometrist | 2519 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Nationwide Optometry P.c. | 6901033075 | 35 |
Provider Name | Nationwide Optometry P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326472945 PECOS PAC ID: 6901033075 Enrollment ID: O20131217000251 |
Mailing Address | Practice Location Address |
---|---|
Scott Lake, OD 220 N Mckemy Ave, Chandler, AZ 85226-2651 Ph: (480) 961-1865 | Scott Lake, OD 5707 W Northern Ave Ste 106, Glendale, AZ 85301-1355 Ph: (602) 512-3299 |
Dr. Margarita Alicia Coca, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7700 W Arrowhead Towne Ctr, Glendale, AZ 85308 Phone: 623-486-2020 | |
Vt Optometry Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 18551 N 83rd Ave, Glendale, AZ 85308 Phone: 623-825-9680 | |
Dr. Diana Vega Hernandez, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 7260 W Bell Rd, Glendale, AZ 85308 Phone: 623-486-1888 Fax: 623-486-8001 | |
Krupa J Patel, OD Optometrist Medicare: Medicare Enrolled Practice Location: 5865 W Utopia Rd, Glendale, AZ 85308 Phone: 623-537-6000 | |
Michael L Berger Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 6677 W Thunderbird Rd #b132, Glendale, AZ 85306 Phone: 602-978-1199 | |
Dr. Ryan Ambrose, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3870 W Happy Valley Rd Ste 150, Glendale, AZ 85310 Phone: 623-362-8642 Fax: 623-561-1190 | |
Stacie L Westen Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5605 W Northern Ave, Glendale, AZ 85301 Phone: 623-934-6917 |