SCOTT EYE CLINIC PA
NPI 1114115433
Optometrist in Russellville, AR
About Scott Eye Clinic Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT EYE CLINIC PA (NPI 1114115433) is a healthcare organization registered as an optometrist in Russellville, Arkansas and active in the NPI registry since October 2007. The organization lists Henry Keith Scott, Owner/physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Scott Eye Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Scott Eye Clinic PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Scott Eye Clinic carries, from the Medicare DMEPOS supplier directory.
Scott Eye Clinic
DMEPOS supplier · Russellville, AROperated by Scott Eye Clinic PAAccepts Medicare assignment
Scott Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Scott Eye Clinic PA's NPI number?
The NPI number for Scott Eye Clinic PA is 1114115433. It was assigned to this organization in the NPPES registry on October 11, 2007.
Where is Scott Eye Clinic PA located?
Scott Eye Clinic PA is located at 214 E 4th St, Russellville, AR 72801. The listed phone number is (479) 968-3937.
What is Scott Eye Clinic PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Scott Eye Clinic PA enrolled in Medicare?
Yes. Scott Eye Clinic PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Scott Eye Clinic PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Scott Eye Clinic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Scott Eye Clinic PA accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Scott Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Scott Eye Clinic PA accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Scott Eye Clinic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Scott Eye Clinic PA was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Scott Eye Clinic Pa · NPI 1114115433
Optometrist organization in Russellville, Arkansas. Organization record, active in the CMS NPPES registry since October 11, 2007.
## Identity
- **NPI:** 1114115433 (Entity type: Organization)
- **Enumerated:** October 11, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Henry Scott, OWNER/PHYSICIAN
## Practice location
- **Address:** 214 E 4TH ST, Russellville, AR 72801-5134
- **Phone:** (479) 968-3937 · **Fax:** (479) 967-6731
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2018
- **Other identifiers:** Other 1114115433 (AR); Medicaid 146049722 (AR); Medicaid 148782722 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1114115433) · Data from the CMS NPPES public registry.