Provider Demographics
NPI:1356987374
Name:SAWYER SCOTT EYECARE CENTER PLLC
Entity type:Organization
Organization Name:SAWYER SCOTT EYECARE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SALLYE
Authorized Official - Middle Name:S
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-487-1316
Mailing Address - Street 1:PO BOX 664
Mailing Address - Street 2:
Mailing Address - City:SENATOBIA
Mailing Address - State:MS
Mailing Address - Zip Code:38668-0664
Mailing Address - Country:US
Mailing Address - Phone:662-562-6446
Mailing Address - Fax:662-562-6155
Practice Address - Street 1:305 W MAIN ST
Practice Address - Street 2:
Practice Address - City:SENATOBIA
Practice Address - State:MS
Practice Address - Zip Code:38668-2146
Practice Address - Country:US
Practice Address - Phone:662-562-6446
Practice Address - Fax:662-562-6155
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAWYER SCOTT EYECARE CENTER PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty