Individual
DR. NICOLETTE E SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1261 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2407
(440) 526-7070
(440) 526-6330
Mailing address
1261 W ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2407
(440) 526-7070
(440) 526-6330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH5247
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360728
ANTHEM (RP)
OH
01
—
000000360729
ANTHEM (SL)
OH
01
—
3765222
AETNA (RP)
OH
01
—
37666535
AETNA (SL)
OH
Enumeration date
02/01/2007
Last updated
05/18/2023
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