Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Leann Boomer Scott, OD

Individual provider Optometrist · NPI 1285256859

Mary Leann Boomer Scott, OD is an Optometry in Traverse City, Michigan. Qualified in 2020, 6 years ago. Practices with Grand Traverse Ophthalmology Clinic PC, a 13-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

929 Business Park Dr
Traverse City, MI 49686-8683
Phone: (231) 947-6246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4901005448 (MI)

Record details

NPI number1285256859
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 17, 2020
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Grand Traverse Ophthalmology Clinic Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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