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

Scott Robert Witherspoon, MD

Individual provider Ophthalmology Physician · NPI 1639203169

Scott Robert Witherspoon, MD is an Ophthalmology in Dallas, Texas. Graduated from Saint Louis University School of Medicine in 2003, 23 years ago. Practices with Retina Institute of Texas PA, a 4-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
23
Trained at
Saint Louis University School of Medicine
Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3414 Oak Grove Ave
Dallas, TX 75204-2375
Phone: (214) 521-1153
Fax: (214) 219-3651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1010 E Interstate 20, Arlington, TX 76018-2107 — (817) 417-7769
  • 3331 Unicorn Lake Blvd, Denton, TX 76210-0102 — (940) 381-9100
  • 400 W Lyndon B Johnson Fwy Ste 320, Irving, TX 75063-3717 — (972) 869-1242

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence N2885 (TX)
Ophthalmology Physician Taxonomy 207W00000X · Licence N2885 (TX)

Record details

NPI number1639203169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 15, 2007
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address3414 Oak Grove Ave, Dallas, TX 75204-2375

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Retina Institute Of Texas Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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