Active NPI
Terry Lee Schitoskey, OD
- Optometrist
- Odessa, TX
National Provider Identifier
1013078203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2500T
- Practice address
- 3863 E 42ND St
Odessa, TX 79762-5947 - Phone
- (432) 363-9974
- Fax
- (432) 550-7089
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2500T | TX | Primary |
Addresses
Primary practice location
3863 E 42ND St
Odessa, TX 79762-5947
Mailing address
3863 E 42ND St
Odessa, TX 79762-5947
Phone (432) 363-9974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093236001 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2500T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252972800000",
"number": "1013078203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3863 E 42ND ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625947",
"telephone_number": "432-363-9974",
"fax_number": "432-550-7089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3863 E 42ND ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797625947",
"telephone_number": "432-363-9974",
"fax_number": "432-550-7089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHITOSKEY",
"first_name": "TERRY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2009-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2500T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093236001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.