Provider Demographics
NPI:1902006760
Name:FRANK A SCOTTI ET AL PTR
Entity Type:Organization
Organization Name:FRANK A SCOTTI ET AL PTR
Other - Org Name:S & E OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCOTTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-943-0501
Mailing Address - Street 1:320 SANTA FE DR.
Mailing Address - Street 2:STE. 104
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024
Mailing Address - Country:US
Mailing Address - Phone:760-943-0501
Mailing Address - Fax:760-943-0371
Practice Address - Street 1:320 SANTA FE DR
Practice Address - Street 2:STE. 104
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5138
Practice Address - Country:US
Practice Address - Phone:760-943-0501
Practice Address - Fax:760-943-0371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2012-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG40698332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1206260001Medicare NSC