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SCOTT LAKE OD
NPI 1154587822
Optometrist in Glendale, AZ

Active since August 01, 2008
5707 W NORTHERN AVE STE 106, GLENDALE, AZ 85301(602) 512-3299 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Scott Lake Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT LAKE OD (NPI 1154587822) is an individual optometrist in Glendale, Arizona, licensed in Arizona (2519) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1154587822
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSCOTT LAKECredential: OD
Location Address5707 W NORTHERN AVE STE 106Glendale, AZ 85301-1355
Mailing Address220 N Mckemy AveChandler, AZ 85226-2651 · (480) 961-1865 · Fax (480) 961-0794
Phone(602) 512-3299
Sole ProprietorNo
Enumeration DateAugust 1, 2008
Last NPPES UpdateSeptember 21, 2021
NPPES CertifiedSeptember 21, 2021
✔ NPI 1154587822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in AZ · 2519✔ Licensed in CT · 002756
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5707 W NORTHERN AVE STE 106, Glendale, AZ 85301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONWIDE OPTOMETRY P.C.
Optometrist
5707 W NORTHERN AVE STE 106
GLENDALE, AZ 85301
Maricopa County (602) 512-3299
DR. ANNIE HAO O.D
Optometrist
5707 W NORTHERN AVE STE 106
GLENDALE, AZ 85301
Maricopa County (602) 594-5157
JUSTYN WILLIAM POLLOCK OD
Optometrist
5707 W NORTHERN AVE STE 106
GLENDALE, AZ 85301
Maricopa County (602) 512-3299

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 Lake's NPI number?

The NPI number for Scott Lake is 1154587822. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Scott Lake located?

Scott Lake practices at 5707 W Northern Ave Ste 106, Glendale, AZ 85301. The listed phone number is (602) 512-3299.

What is Scott Lake's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Scott Lake accept?

Health plans from Blue Cross Blue Shield of Arizona list Scott Lake 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 Lake was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.