Provider Demographics
NPI:1114975398
Name:TUNIS, SCOTT WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:WILLIAM
Last Name:TUNIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3320 EXECUTIVE DR STE 111
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7445
Mailing Address - Country:US
Mailing Address - Phone:919-436-3991
Mailing Address - Fax:919-436-3991
Practice Address - Street 1:451 RUIN CREEK RD STE 204
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-5920
Practice Address - Country:US
Practice Address - Phone:919-876-2427
Practice Address - Fax:252-492-3420
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2025-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC9800407207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11321OtherBCBS PROV #
NC8911321Medicaid
NC11321OtherBCBS PROV #
NC2251260EMedicare PIN
NC8911321Medicaid