Scott Lake, OD
NPI 1154587822ActiveIndividual· Optometrist· Glendale, AZ
Optometrist (OD) in Glendale, Arizona, licensed in AZ and CT, with an NPI issued in August 2008. Biotissue Holdings Inc. was the largest of 3 companies reporting payments in 2024, $401.64 in all, mostly food and beverage.
Overview
| NPI | 1154587822 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Aug 1, 2008 |
| Last updated in NPPES | Sep 21, 2021 |
| Certified by provider | Sep 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2519 | AZ |
| Optometrist | 152W00000X | 002756 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2024$401.64 · 4 payments from 3 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Biotissue Holdings Inc. | $145.83 | 1 |
| Bausch & Lomb Americas Inc. | $140.75 | 2 |
| Coopervision Inc. | $115.06 | 1 |
What the 2024 payments were for
- Food and Beverage$401.64 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other optometrists in Glendale
- 1053751701
- 1073778601
- 1104980846
- 1144685694
- 1215283668
- 1235111055
- 1235652553
- 1255335832
- 1255708251
- 1275054470
- 1326739012
- 1356724009
All 145 optometrists in Glendale · All optometrists in Arizona