Dr. Scott Douglas Burge, O.D.
Optometrist in Annapolis, MD. Individual provider (NPI-1).
NPI number1689680845
StatusActive
Last updated in NPPESFeb 7, 2025
Details
- NPI
- 1689680845
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Douglas Burge
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2006
- Certification date
- Feb 7, 2025
- Last updated
- Feb 7, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | DA0778 | MD | Yes |
Practice location
490 Sara DrAnnapolis, MD 21401-6532
Phone 410-000-0000
Mailing address
490 Sara DrAnnapolis, MD 21401-6532
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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.
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