Individual
DR. ELAINE R SCOTT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1451 JASON RD, GREENFIELD, IN 46140-1039
(317) 462-6601
Mailing address
3945 S VILLAGE ROW, NEW PALESTINE, IN 46163-9468
(317) 861-0060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001917A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175429
ANTHEM
IN
Enumeration date
10/04/2005
Last updated
07/08/2007
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