Individual provider · Type 1 NPI

Scott Lake, OD

Optometrist · Glendale, AZ

NPI number 1154587822 Active

Practice location

5707 W Northern Ave Ste 106
Glendale, AZ 85301-1355

Mailing address

220 N Mckemy Ave
Chandler, AZ 85226-2651

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000X002756 (CT)
Optometrist Primary 152W00000X2519 (AZ)

Optometrist: 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 e…

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About NPI 1154587822

Scott Lake, OD's National Provider Identifier is 1154587822, issued on Aug 1, 2008. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Glendale, AZ. The record was last updated on Sep 21, 2021.