Active NPI
Schaff Vision Care, LLC
- Optometrist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002927
- Legal business name
- SCHAFF VISION CARE, LLC
- Practice address
- 2700 Wildwood Ave
Jackson, MI 49202-3933 - Phone
- (517) 789-8119
- Fax
- (517) 789-6276
- NPI assigned
- Oct 4, 2006
- Last updated
- Oct 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Schaff
- Title
- Office Manager
- Phone
- (517) 789-8119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002927 | MI | Primary |
Addresses
Primary practice location
2700 Wildwood Ave
Jackson, MI 49202-3933
Mailing address
2700 Wildwood Ave
Jackson, MI 49202-3933
Phone (517) 789-8119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 2
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Schaff Vision Care LLC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
114 W Erie St
Albion, MI 49224
Phone (517) 629-3981
2700 Wildwood Ave
Jackson, MI 49202
Phone (517) 230-5547
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Jackson, MI
- NPI 1659488609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414713600000",
"number": "1043305899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 WILDWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023933",
"telephone_number": "517-789-8119",
"fax_number": "517-789-6276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 WILDWOOD AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492023933",
"telephone_number": "517-789-8119",
"fax_number": "517-789-6276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHAFF VISION CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2014-10-31",
"status": "A",
"authorized_official_last_name": "SCHAFF",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "517-789-8119"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.