Doctor profile · Federal record
Dr. Scott Lake, OD
Optometrist · Optometrist · Glendale, AZ
- NPI 1154587822
- 18 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5707 W Northern Ave Ste 106
Glendale, AZ 853011355
(602) 512-3299 - Mailing address
-
220 N McKemy Ave
Chandler, AZ 852262651
Credentials & registration
- NPI registered
- August 2008 — 18 yrs on file
- Profile last updated
- September 21, 2021
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- Arizona #2519 · Connecticut #002756
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154587822. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$402
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Biotissue Holdings INC. | 1 | $145.83 | |
| Bausch & Lomb Americas INC. | 2 | $140.75 | |
| CooperVision INC. | 1 | $115.06 |
By nature of payment
Frequently asked questions
What is Dr. Scott Lake's medical specialty?
Dr. Scott Lake practices Optometrist in Glendale, AZ.
Where does Dr. Scott Lake practice?
Dr. Scott Lake practices at 5707 W Northern Ave Ste 106, Glendale, AZ 853011355. Office phone: 6025123299.
What is Dr. Scott Lake's NPI?
Dr. Scott Lake's National Provider Identifier (NPI) is 1154587822, issued by NPPES.