Provider Demographics
NPI:1154317485
Name:SCHECTER, SCOTT H (OD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:H
Last Name:SCHECTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11077 BISCAYNE BLVD
Mailing Address - Street 2:SUITE #303
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7418
Mailing Address - Country:US
Mailing Address - Phone:305-893-9201
Mailing Address - Fax:305-893-9953
Practice Address - Street 1:2900 W CYPRESS CREEK RD STE 1
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-1715
Practice Address - Country:US
Practice Address - Phone:954-977-0192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 2560152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078841400Medicaid
FLK4244OtherMDCR GROUP NUMBER
FL20393EMedicare ID - Type Unspecified