Individual provider Active NPI

Mason Chandler Schiltz, OD

  • Optometrist
  • Yuma, CO
National Provider Identifier
1043949001
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3802 Issued in CO
Practice address
105 S Main St
Yuma, CO 80759-1913
Phone
(970) 848-5345
NPI assigned
Jun 6, 2022
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3802 CO Primary

Addresses

Primary practice location

105 S Main St
Yuma, CO 80759-1913

Mailing address

105 S Main St
Yuma, CO 80759-1913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220719001131 CO Practitioner - Optometry 8426439662 Reassigns benefits to 2 organizations
I20250610003726 IL Practitioner - Optometry 8426439662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionpoint Eye Center LLCGroup PAC ID 0749522092, 15 clinicians

Practice addresses (Care Compare)

1107 Airport Rd
Bloomington, IL 61704-2544
Phone (309) 662-7700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3802COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
3D Vision, Inc Optometrist CurrentSince Aug 25, 2024 Accepting new patients
Visionpoint Eye Center LLC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Morrison Optometric Associates PA Optometrist CurrentSince Jun 15, 2022 Accepting new patients
3D Vision, Inc Optometrist CurrentSince Aug 25, 2024 Accepting new patients
Morrison Optometric Associates PA Optometrist CurrentSince Jun 15, 2022 Accepting new patients

Locations

5760 W 120th Ave
Ste 240
Broomfield, CO 80020
Phone (303) 404-3937

1275 Rose Ave
Ste A
Burlington, CO 80807
Phone (719) 346-8415

4080 W Northern Ave
Pueblo, CO 81005
Phone (719) 551-7337

415 Main St
Wray, CO 80758
Phone (970) 332-4823

105 S Main St
Yuma, CO 80759
Phone (970) 848-5345

1107 Airport Rd
Bloomington, IL 61704
Phone (309) 662-7700

125 W Main St
Clinton, IL 61727
Phone (217) 935-9451

4847 E US Route 36
Decatur, IL 62521
Phone (217) 425-3219

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1043949001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S MAIN ST",
            "city": "YUMA",
            "state": "CO",
            "postal_code": "807591913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S MAIN ST",
            "city": "YUMA",
            "state": "CO",
            "postal_code": "807591913",
            "telephone_number": "970-848-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILTZ",
        "first_name": "MASON",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "3802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, CO

Sources for this page

Verify at the official NPI Registry.