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Scott Lake, OD

Optometrist in Glendale, AZ · enumerated 2008 · practices at Nationwide Optometry P.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154587822

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Registry record

Entity type Individual (Type 1)
Name Scott Lake
Credential OD
Sex Male
Practice address 5707 W Northern Ave Ste 106, Glendale, AZ, 85301
Phone (602) 512-3299
Enumeration date Aug 1, 2008
Last updated in NPPES Sep 21, 2021

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 002756 (CT) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 2519 (AZ) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Scott Lake?
The National Provider Identifier (NPI) for Scott Lake is 1154587822, a Type 1 (individual) record in the CMS NPPES registry.
Where does Scott Lake practice?
The practice location on file with NPPES is in Glendale, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-09-21.