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Dr. Scott Mogavero, OD

Optometrist in Greenville, SC. Individual provider (NPI-1).

NPI number1033780754
StatusActive
Last updated in NPPESJul 3, 2021

Details

NPI
1033780754
Entity type
Individual (NPI-1)
Name
Dr. Scott Mogavero
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 3, 2021
Certification date
Jul 3, 2021
Last updated
Jul 3, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - OPTOMETRY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristOPT.2275SCYes

Practice location

41 Park Creek Dr
Greenville, SC 29605-4270

Phone 864-299-1600

Mailing address

180 Woodruff Rd Apt 6101
Greenville, SC 29607-3872

Phone 314-616-2166

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Greenville, SC

All 101 Optometrist providers in Greenville · All 12,755 providers in Greenville

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