Individual
DR. MICHAEL SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
860 SUMMIT CROSSING PL STE 110, GASTONIA, NC 28054-2217
(704) 865-3937
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1142
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909816
—
NC
Enumeration date
01/18/2006
Last updated
03/14/2022
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