Provider Demographics
NPI:1619460607
Name:SAWYER SCOTT LLC DBA THE EYECARE CENTER
Entity Type:Organization
Organization Name:SAWYER SCOTT LLC DBA THE EYECARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALLYE
Authorized Official - Middle Name:SAWYER
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:662-487-1316
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:SARDIS
Mailing Address - State:MS
Mailing Address - Zip Code:38666-0385
Mailing Address - Country:US
Mailing Address - Phone:662-487-1316
Mailing Address - Fax:662-487-9270
Practice Address - Street 1:119 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SARDIS
Practice Address - State:MS
Practice Address - Zip Code:38666-1722
Practice Address - Country:US
Practice Address - Phone:662-487-1316
Practice Address - Fax:662-487-9270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty