Provider Demographics
NPI:1154317485
Name:SCHECTER, SCOTT H (OD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:H
Last Name:SCHECTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11077 BISCAYNE BLVD
Mailing Address - Street 2:SUITE #303
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7418
Mailing Address - Country:US
Mailing Address - Phone:305-893-9201
Mailing Address - Fax:305-893-9953
Practice Address - Street 1:11077 BISCAYNE BLVD
Practice Address - Street 2:SUITE #303
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7418
Practice Address - Country:US
Practice Address - Phone:305-893-9201
Practice Address - Fax:305-893-9953
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 2560152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4244OtherMDCR GROUP NUMBER
FLK4244OtherMDCR GROUP NUMBER
FL20393EMedicare ID - Type Unspecified