Individual
SCOTT LAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7077 NORMANDY BLVD STE 7, JACKSONVILLE, FL 32205
(904) 781-7717
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
969-OD
WV
152W00000X
Optometrist
Primary
OPC3561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6300064000
—
WV
Enumeration date
11/29/2005
Last updated
04/11/2025
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