SCOTT SONG (OD) – Optometrist, NPI 1710178462
Optometrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SCOTT SONG (OD)
West Avenue, The Bronx, Bronx County, New York, 10462, United States
6
SAN ANTONIO, TX 782131370
Phone: (210) 524-6509
Fax: (210) 524-6587
Type: Mailing
7702 H MOUNT VERNON PLAZA
SPACE 63
ALEXANDRIA, VA 22306
Phone: (703) 717-0737
Fax: (703) 717-0739
Type: Location
14390 CHANTILLY CROSSING LN
CHANTILLY, VA 201512117
Phone: (703) 263-7970
Fax: (703) 263-7970
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2023-03-17 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($143).
Total Amount
$168
General + Research + Ownership
Payments
2
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $143 |
| Bausch & Lomb Americas Inc. | $25 |
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: 2008-01-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080109000351 | I | Optometry | DC | TBD |
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.
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 78213)
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