DR. SCOTT RYAN LEWIS O.D.
NPI 1255324299
Optometrist - Vision Therapy in Boise, ID

Q: What is Scott Lewis's NPI number?

The NPI number for Scott Lewis is 1255324299. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Scott Lewis's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Q: Is Scott Lewis enrolled in Medicare?

No. Scott Lewis has opted out of Medicare through December 5, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Scott Lewis was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 24, 2005Opted out of Medicare · through Dec 5, 2027

2051 S COLE RD, BOISE, ID 83709(208) 672-1200(208) 939-0522 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Scott Ryan Lewis O.d. NPPES

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

DR. SCOTT RYAN LEWIS O.D. (NPI 1255324299) is an individual vision therapy provider in Boise, Idaho, licensed in Idaho (ODP 100160) and active in the NPI registry since August 2005. He has opted out of Medicare through December 5, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1255324299

Entity TypeIndividualMale

Primary Taxonomy152WV0400X

Provider Legal NameDR. SCOTT RYAN LEWISCredential: O.D.

Location Address2051 S COLE RDBoise, ID 83709-2815

Mailing Address13150 W Persimmon LnBoise, ID 83713-1986 · (208) 939-0510 · Fax (208) 939-0522

Phone(208) 672-1200

Fax(208) 939-0522

Sole ProprietorNo

Enumeration DateAugust 24, 2005

Last NPPES UpdateSeptember 10, 2008

✔ NPI 1255324299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers

Taxonomy Code152WV0400X

License✔ Licensed in ID · ODP 100160

Definition

Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.

Also ListedOptometristTaxonomy 152W00000X · License 5948980-9934 (UT)

2051 S COLE RD, Boise, ID 83709

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Scott Ryan Lewis O.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 5, 2017 through December 5, 2027.

Opt-Out Effective DateDecember 5, 2017

Opt-Out In Effect ThroughDecember 5, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

J. RANDALL PITMAN & ASSOCIATES, P.C.

Optometrist