N SCOTT GORMAN – Optometrist, NPI 1578637310

N SCOTT GORMAN is a healthcare provider. based in North miami beach, Florida. specializing in Optometrist. They hold a License No. OPC1086 (FL). The NPI Number for N SCOTT GORMAN is 1578637310

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
N SCOTT GORMAN
NPI
1578637310
Phone
(305) 945-7301
Address
1711 NE 163rd St
Enumeration Date
20 November 2006
Last Update Date
30 October 2019

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
3059457113
Graduation Year
1973 (53 years ago)
PAC ID
6507827342
Group Practice PAC ID
0941536536
Professional Enrollment ID
I20041025000477
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for N SCOTT GORMAN

  • 1711 NE 163rd St

    North Miami Beach, FL 331624732

    Phone: (305) 945-7301

    Type: Location

  • 1825, Northeast 164th Street, North Miami Beach, Miami-Dade County, Florida, 33162, United States

    NORTH MIAMI BEACH, FL 331624100

    Phone: (305) 945-7113

    Type: Location

  • 3150 NE 190TH ST APT 104

    AVENTURA, FL 331803175

    Phone: (954) 806-8446

    Fax: (866) 382-7695

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-10-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041025000477IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33162)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941536536View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for N SCOTT GORMAN?
N SCOTT GORMAN — NPI 1578637310 — is the standard way to identify this listing.
Is N SCOTT GORMAN listed as active for patients and plans?
The listing shows N SCOTT GORMAN as active in the NPI system.
What taxonomy line describes N SCOTT GORMAN?
For research purposes, treat N SCOTT GORMAN as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is N SCOTT GORMAN based?
N SCOTT GORMAN is tied to North Miami Beach, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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