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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SCOTT ROBERTS HADERLIE O.D.
NPI 1386694677
Optometrist in Brigham City, UT

Active since May 10, 2006PECOS Enrolled
747 S MAIN ST, BRIGHAM CITY, UT 84302(435) 723-1800 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Scott Roberts Haderlie O.d. NPPES

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

DR. SCOTT ROBERTS HADERLIE O.D. (NPI 1386694677) is an individual optometrist in Brigham City, Utah, licensed in Utah (1142339934) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386694677
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SCOTT ROBERTS HADERLIECredential: O.D.
Location Address747 S MAIN STBrigham City, UT 84302-3359
Mailing Address747 S Main StBrigham City, UT 84302-3359 · (435) 723-1800
Phone(435) 723-1800
Sole ProprietorNo
Enumeration DateMay 10, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1386694677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 1142339934
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.
747 S MAIN ST, Brigham City, UT 84302
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Roberts Haderlie O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84302 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 2

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

SHOPKO STORES OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
747 S MAIN ST
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1600
SHOPKO STORES OPERATING CO. LLC
Eyewear Supplier
747 S MAIN ST
BRIGHAM CITY, UT 84302
Box Elder County (435) 723-1800

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 Haderlie's NPI number?

The NPI number for Scott Haderlie is 1386694677. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Scott Haderlie located?

Scott Haderlie practices at 747 S Main St, Brigham City, UT 84302. The listed phone number is (435) 723-1800.

What is Scott Haderlie's specialty?

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

Is Scott Haderlie enrolled in Medicare?

Yes. Scott Haderlie is registered in the Medicare PECOS enrollment system.

What insurance does Scott Haderlie accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Scott Haderlie 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 Haderlie was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.