Individual
DR. ROBERT V SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3812 WEST JEFFERSON BLVD, FORT WAYNE, IN 46804
(260) 734-1998
(260) 436-6455
Mailing address
5917 SPRING POND RD, FORT WAYNE, IN 46845
(260) 482-7539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001728A
IN
152W00000X
Optometrist
18001728B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IN1728
EYEMED VISION NO.
—
01
—
P00309137
RAILROAD MEDICARE
—
Enumeration date
06/21/2006
Last updated
01/25/2008
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