Mr. Gordon Quatlebaum Scott Jr. is a Columbia, South Carolina based male eyecare provider who is specialized as Optician. He has professional credentials of OPTICIAN. Active license number of Mr. Gordon Quatlebaum Scott Jr. is 352 for Optician in South Carolina.
Mr. Gordon Quatlebaum Scott Jr. makes / sells eyeglasses and, contact lenses, for remedying defects of vision in accordance with the prescriptions of ophthalmologists and optometrists. Opticians also specializes in filling lens prescriptions, assisting patients with lens and frame selection and fitting (including style, weight and colour) but they do not test vision or write prescriptions for visual correction.
Complete Profile:
Mr. Gordon Quatlebaum Scott Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Optician |
| Credentials: | OPTICIAN |
| Gender: | Male |
| Practice Address: | 1812 Washington St, Columbia,
South Carolina, 29201-3549 |
| Phone: | 803-254-9381 |
| Fax: | 803-254-1978 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1447387048 |
| NPI Enumeration Date: | 28 Feb, 2007 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Gordon Quatlebaum Scott Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 352 | Optician | South Carolina | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Gordon Quatlebaum Scott Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| DV0105 | Medicaid | South Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 411 Commerce Dr Ne,
Columbia, South Carolina |
| Zip: | 29223 |
| Phone Number: | 803-254-9381 |
| Fax Number: | 803-254-1978 |
Patients can reach Mr. Gordon Quatlebaum Scott Jr. at
1812 Washington St, Columbia, South Carolina or can
call to book an appointment on 803-254-9381.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.